Basic Information
Provider Information
NPI: 1942273685
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: CHRISTOPHER
FirstName: FRANK
MiddleName: L
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 365 RETRIEVER LN
Address2:  
City: CARTHAGE
State: NC
PostalCode: 283276846
CountryCode: US
TelephoneNumber: 9107836406
FaxNumber:  
Practice Location
Address1: REILLY ROAD
Address2: WOMACK ARMY MEDICAL CENTER, DEM/DODH
City: FORT BRAGG
State: NC
PostalCode: 283100001
CountryCode: US
TelephoneNumber: 9109077000
FaxNumber:  
Other Information
ProviderEnumerationDate: 02/13/2006
LastUpdateDate: 05/27/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 05/27/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207P00000X9700034NCN Allopathic & Osteopathic PhysiciansEmergency Medicine 
207P00000X022835LAY Allopathic & Osteopathic PhysiciansEmergency Medicine 

No ID Information.


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