Dr. Christine Janel Haywood Bong, M.D., FAAP, M.P.H.
Pediatrics in Colorado Springs, CO. Individual provider (NPI-1).
NPI number1992827653
StatusActive
Last updated in NPPESMar 7, 2023
Details
- NPI
- 1992827653
- Entity type
- Individual (NPI-1)
- Name
- Dr. Christine Janel Haywood Bong
- Credential
- M.D., FAAP, M.P.H.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 4, 2007
- Certification date
- Aug 9, 2022
- Last updated
- Mar 7, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208000000X | Pediatrics | 47375 | CO | Yes |
| 208000000X | Pediatrics | LL28136 | SC |
Practice location
2960 N Circle Dr Ste 200Colorado Springs, CO 80909-1163
Phone 719-634-8891
Mailing address
7625 Slate CtColorado Springs, CO 80919-2922
Phone 719-313-3267 · Fax 719-309-6847
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