Provider Demographics
NPI:1164619474
Name:NEFF, CHRISTIAN MCLAIN (MD)
Entity Type:Individual
Prefix:DR
First Name:CHRISTIAN
Middle Name:MCLAIN
Last Name:NEFF
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2158 EVERGREEN AVE
Mailing Address - Street 2:
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84109-2925
Mailing Address - Country:US
Mailing Address - Phone:801-274-3776
Mailing Address - Fax:
Practice Address - Street 1:2158 EVERGREEN AVE
Practice Address - Street 2:
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84109-2925
Practice Address - Country:US
Practice Address - Phone:801-274-3776
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-01
Last Update Date:2007-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT6353252-1205207P00000X
UT6353252-8905207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine