Provider Demographics
NPI:1346517448
Name:PIKE, CHRISTOPHER MARTIN (PA)
Entity type:Individual
Prefix:MR
First Name:CHRISTOPHER
Middle Name:MARTIN
Last Name:PIKE
Suffix:
Gender:M
Credentials:PA
Other - Prefix:
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Mailing Address - Street 1:13583 SYCAMORE LN
Mailing Address - Street 2:
Mailing Address - City:CHINO
Mailing Address - State:CA
Mailing Address - Zip Code:91710-6625
Mailing Address - Country:US
Mailing Address - Phone:909-896-6880
Mailing Address - Fax:
Practice Address - Street 1:13583 SYCAMORE LN
Practice Address - Street 2:
Practice Address - City:CHINO
Practice Address - State:CA
Practice Address - Zip Code:91710-6625
Practice Address - Country:US
Practice Address - Phone:909-896-6880
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-11-17
Last Update Date:2021-12-06
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant