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Contact Information

CHRISTOPHER M SHALE, MD
4403 HARRISON BLVD
STE 4835
OGDEN, UT84403-3271
 Phone: 801-387-4750
 Fax: 801-387-4755
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Plastic Surgery

208200000X 24 Physician/Plastic and Reconstructive Surgery
 

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
 

General Practice

208D00000X 99 Physician/General Practice
 

Surgery

208600000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for CHRISTOPHER M SHALE · (Male)

NPI Number 1962478636
Credentials MD
Entity Individual
Enumeration date 02/23/2006
Last updated 09/16/2015 - About 11 months ago
Sole proprietor 1 Yes
Identifiers
TX License # N1138
UT License # 8501536-1205
UT Other U000078865 PTAN
Hospital affiliation(s)
  • MCKAY DEE HOSPITAL CENTER - (Acute Care)
    4401 HARRISON BOULEVARD
    OGDEN, UT 84403
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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