Dr BRENT CHRISTENSEN DPM is a male medical professional, specializing in Podiatry. He graduated in 1999 from California College Podiatric Medicine.
1777 E CLARK ST
SUITE 220
POCATELLO
ID
832013357
Tel: 2082351777
| Npi | 1487688990 |
| Pac Id | 3779514435 |
| Professional Enrollment Id | I20050823000695 |
| Last Name | CHRISTENSEN |
| First Name | BRENT |
| Middle Name | |
| Suffix | |
| Gender | M |
| Credential | DPM |
| Medical School Name | CALIFORNIA COLLEGE PODIATRIC MEDICINE |
| Graduation Year | 1999 |
| Primary Specialty | PODIATRY |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | |
| Organization Legal Name | |
| Group Practice Pac Id | |
| Number Of Group Practice Members | |
| Line 1 Street Address | 1777 E CLARK ST |
| Line 2 Street Address | SUITE 220 |
| Marker Of Address Line 2 Suppression | |
| City | POCATELLO |
| State | ID |
| Zip Code | 832013357 |
| Phone Number | 2082351777 |
| Hospital Affiliation Ccn 1 | 131303 |
| Hospital Affiliation Lbn 1 | NELL J REDFIELD MEMORIAL HOSPITAL |
| Hospital Affiliation Ccn 2 | 131309 |
| Hospital Affiliation Lbn 2 | CARIBOU MEMORIAL HOSPITAL |
| Hospital Affiliation Ccn 3 | 130028 |
| Hospital Affiliation Lbn 3 | PORTNEUF MEDICAL CENTER |
| Hospital Affiliation Ccn 4 | |
| Hospital Affiliation Lbn 4 | |
| Hospital Affiliation Ccn 5 | |
| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | Y |
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