Provider Demographics
NPI:1932236627
Name:IRONS, CHRISTOPHER EDWARD (CSA)
Entity type:Individual
Prefix:MR
First Name:CHRISTOPHER
Middle Name:EDWARD
Last Name:IRONS
Suffix:
Gender:M
Credentials:CSA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2014 TRAILBLAZER WAY
Mailing Address - Street 2:
Mailing Address - City:CASTLE ROCK
Mailing Address - State:CO
Mailing Address - Zip Code:80109-3611
Mailing Address - Country:US
Mailing Address - Phone:303-507-6506
Mailing Address - Fax:303-282-9995
Practice Address - Street 1:2014 TRAILBLAZER WAY
Practice Address - Street 2:
Practice Address - City:CASTLE ROCK
Practice Address - State:CO
Practice Address - Zip Code:80109-3611
Practice Address - Country:US
Practice Address - Phone:303-507-6506
Practice Address - Fax:303-282-9995
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-28
Last Update Date:2014-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COSA0001079246ZC0007X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZC0007XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical Assistant