Provider Demographics
NPI:1073584249
Name:MOW, CHRISTOPHER SCOTT (MD)
Entity Type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:SCOTT
Last Name:MOW
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:500 E REMINGTON DR
Mailing Address - Street 2:SUITE 29
Mailing Address - City:SUNNYVALE
Mailing Address - State:CA
Mailing Address - Zip Code:94087-2657
Mailing Address - Country:US
Mailing Address - Phone:408-830-0905
Mailing Address - Fax:408-830-0906
Practice Address - Street 1:500 E REMINGTON DR
Practice Address - Street 2:SUITE 29
Practice Address - City:SUNNYVALE
Practice Address - State:CA
Practice Address - Zip Code:94087-2657
Practice Address - Country:US
Practice Address - Phone:408-830-0905
Practice Address - Fax:408-830-0906
Is Sole Proprietor?:No
Enumeration Date:2006-01-27
Last Update Date:2024-04-28
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAG74362207XS0114X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
No207XS0114XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryAdult Reconstructive Orthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
E99538Medicare UPIN
CA00G743620Medicare ID - Type Unspecified