Provider Demographics
NPI:1710099676
Name:SYBROWSKY, CHRISTIAN LAYNE (MD)
Entity Type:Individual
Prefix:
First Name:CHRISTIAN
Middle Name:LAYNE
Last Name:SYBROWSKY
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 1:9844 S-1300E
Mailing Address - Street 2:#100
Mailing Address - City:SANDY
Mailing Address - State:UT
Mailing Address - Zip Code:84094-4600
Mailing Address - Country:US
Mailing Address - Phone:801-571-9433
Mailing Address - Fax:801-572-5607
Practice Address - Street 1:9844 S-1300E
Practice Address - Street 2:#100
Practice Address - City:SANDY
Practice Address - State:UT
Practice Address - Zip Code:84094-4600
Practice Address - Country:US
Practice Address - Phone:801-571-9433
Practice Address - Fax:801-572-5607
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2012-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAML20008734208600000X
UT8334539-1205207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
No208600000XAllopathic & Osteopathic PhysiciansSurgery