Provider Demographics
NPI:1568480895
Name:VOKT, CHRISTINA MARIE (MD, MPH)
Entity Type:Individual
Prefix:MS
First Name:CHRISTINA
Middle Name:MARIE
Last Name:VOKT
Suffix:
Gender:F
Credentials:MD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1469 N CLEMENTE WAY
Mailing Address - Street 2:
Mailing Address - City:TOOELE
Mailing Address - State:UT
Mailing Address - Zip Code:84074-8991
Mailing Address - Country:US
Mailing Address - Phone:801-558-3385
Mailing Address - Fax:
Practice Address - Street 1:5116 KISTER AVE
Practice Address - Street 2:
Practice Address - City:DUGWAY
Practice Address - State:UT
Practice Address - Zip Code:84022-1097
Practice Address - Country:US
Practice Address - Phone:801-777-1160
Practice Address - Fax:801-775-6884
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-17
Last Update Date:2020-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT5693127-12052083P0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2083P0500XAllopathic & Osteopathic PhysiciansPreventive MedicinePreventive Medicine/Occupational Environmental MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WY120836500Medicaid
ID807114600Medicaid
NV100505769Medicaid
MT0140465Medicaid