| Mr Christian John Davidson, MD | |
|
2000 Circle Of Hope Dr # 3100, Salt Lake City, UT 84112-5550 | |
| (385) 421-0214 | |
| Not Available |
| Full Name | Mr Christian John Davidson |
|---|---|
| Gender | Male |
| Speciality | Pathology - Neuropathology |
| Location | 2000 Circle Of Hope Dr # 3100, Salt Lake City, Utah |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396918314 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207ZN0500X | Pathology - Neuropathology | 10537081-1205 (Utah) | Primary |
| 207ZP0101X | Pathology - Anatomic Pathology | 10537081-1205 (Utah) | Secondary |
| Entity Name | University Of Utah Adult Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114321981 PECOS PAC ID: 0941525273 Enrollment ID: O20150209001683 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Christian John Davidson, MD 3652 E Little Cottonwood Ln, Sandy, UT 84092-6092 Ph: (385) 421-0214 | Mr Christian John Davidson, MD 2000 Circle Of Hope Dr # 3100, Salt Lake City, UT 84112-5550 Ph: (385) 421-0214 |
Yahya Daneshbod, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 15 N Medical Dr Ste 1100, Salt Lake City, UT 84112 Phone: 801-581-2121 | |
Robert E. Rogers, MD, PHD Pathology Medicare: Not Enrolled in Medicare Practice Location: Eccles Insititute Of Human Genetics: 15 N Medical Dr., Salt Lake City, UT 84112 Phone: 801-581-2121 | |
Dr. Melissa Hankins Cessna, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 8th Avenue & C Street, Salt Lake City, UT 84143 Phone: 801-408-1784 Fax: 801-408-5196 | |
Kajsa Elizabeth Affolter, Pathology Medicare: Accepting Medicare Assignments Practice Location: University Of Utah Hospital, 50 North Medical Drive, Salt Lake City, UT 84132 Phone: 801-581-2507 | |
John M. Daines, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 15 N Medical Dr Ste 1100, Salt Lake City, UT 84112 Phone: 801-581-4390 | |
David R. Anderson, DO Pathology Medicare: Not Enrolled in Medicare Practice Location: Eccles Insititute Of Human Genetics: 15 N Medical Dr., Salt Lake City, UT 84112 Phone: 801-581-2121 | |
Peter E. Jensen, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 50 N Medical Dr, Salt Lake City, UT 84132 Phone: 801-581-2507 |