Dr. Christopher Merle Nystuen, M.D.
General Practice in Ft Carson, CO. Individual provider (NPI-1).
NPI number1528107372
StatusActive
Last updated in NPPESSep 4, 2014
Details
- NPI
- 1528107372
- Entity type
- Individual (NPI-1)
- Name
- Dr. Christopher Merle Nystuen
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Feb 6, 2007
- Last updated
- Sep 4, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208D00000X | General Practice | C54117 | CA | Yes |
Practice location
1650 Cochrane CirDepartment Of Medical Readiness
Ft Carson, CO 80913-4613
Phone 719-524-7351
Mailing address
1650 Cochrane CirFt Carson, CO 80913-4613
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