Provider Demographics
NPI:1750025847
Name:CHRISTIANSON, DOUGLAS DAVID (ND)
Entity type:Individual
Prefix:DR
First Name:DOUGLAS
Middle Name:DAVID
Last Name:CHRISTIANSON
Suffix:
Gender:M
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1492 N PALM CANYON DR
Mailing Address - Street 2:
Mailing Address - City:PALM SPRINGS
Mailing Address - State:CA
Mailing Address - Zip Code:92262-4412
Mailing Address - Country:US
Mailing Address - Phone:760-766-7200
Mailing Address - Fax:760-254-9452
Practice Address - Street 1:1492 N PALM CANYON DR
Practice Address - Street 2:
Practice Address - City:PALM SPRINGS
Practice Address - State:CA
Practice Address - Zip Code:92262-4412
Practice Address - Country:US
Practice Address - Phone:760-766-7200
Practice Address - Fax:760-254-9452
Is Sole Proprietor?:No
Enumeration Date:2022-04-25
Last Update Date:2024-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAND1319175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath