Provider Demographics
NPI:1154330678
Name:CURTIS, CHRISTOPHER EDWARD (MD)
Entity type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:EDWARD
Last Name:CURTIS
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Gender:M
Credentials:MD
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Mailing Address - Street 1:MADIGAN ARMY MEDICAL CTR
Mailing Address - Street 2:9040 JACKSON AVE
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98431-1100
Mailing Address - Country:US
Mailing Address - Phone:831-242-6477
Mailing Address - Fax:831-242-6878
Practice Address - Street 1:473 CABRILLO ST BLDG 422
Practice Address - Street 2:PRESIDIO OF MONTEREY ARMY HEALTH CLINIC
Practice Address - City:PRESIDIO OF MONTEREY
Practice Address - State:CA
Practice Address - Zip Code:93944-3201
Practice Address - Country:US
Practice Address - Phone:831-242-6477
Practice Address - Fax:831-242-6878
Is Sole Proprietor?:No
Enumeration Date:2006-08-05
Last Update Date:2013-08-20
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Provider Licenses
StateLicense IDTaxonomies
NE23807208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
HIVAD000Medicare UPIN