Christopher DO
Internal Medicine in Las Vegas, NV. Individual provider (NPI-1).
NPI number1962031237
StatusActive
Last updated in NPPESJun 27, 2023
Details
- NPI
- 1962031237
- Entity type
- Individual (NPI-1)
- Name
- Christopher DO
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 7, 2020
- Certification date
- Jun 27, 2023
- Last updated
- Jun 27, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | DO3278 | NV | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
620 Shadow LnLas Vegas, NV 89106-4194
Phone 702-477-6572
Mailing address
10624 S Eastern Ave # A955Henderson, NV 89052-2982
Phone 702-800-5393 · Fax 702-407-7016
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