Provider Demographics
NPI:1073505319
Name:HESS, CHRISTIAN L (MD)
Entity Type:Individual
Prefix:DR
First Name:CHRISTIAN
Middle Name:L
Last Name:HESS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:2255 N. 1700 W.
Mailing Address - Street 2:#100
Mailing Address - City:LAYTON
Mailing Address - State:UT
Mailing Address - Zip Code:84041-1140
Mailing Address - Country:US
Mailing Address - Phone:801-773-0690
Mailing Address - Fax:801-773-0697
Practice Address - Street 1:2255 N. 1700 W.
Practice Address - Street 2:#100
Practice Address - City:LAYTON
Practice Address - State:UT
Practice Address - Zip Code:84041-1140
Practice Address - Country:US
Practice Address - Phone:801-773-0690
Practice Address - Fax:801-773-0697
Is Sole Proprietor?:No
Enumeration Date:2005-08-22
Last Update Date:2020-12-15
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
UT380357-1205207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
UTG99001Medicare UPIN
UT005569201Medicare ID - Type Unspecified