Provider Demographics
NPI:1164599114
Name:MILLS, CHRISTOPHER PAUL (DO)
Entity Type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:PAUL
Last Name:MILLS
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:150 ROCK POINT DRIVE
Mailing Address - Street 2:UNIT C
Mailing Address - City:DURANGO
Mailing Address - State:CO
Mailing Address - Zip Code:81301-7727
Mailing Address - Country:US
Mailing Address - Phone:970-247-3717
Mailing Address - Fax:970-247-3806
Practice Address - Street 1:150 ROCK POINT DRIVE
Practice Address - Street 2:UNIT C
Practice Address - City:DURANGO
Practice Address - State:CO
Practice Address - Zip Code:81301-7727
Practice Address - Country:US
Practice Address - Phone:970-247-3717
Practice Address - Fax:970-247-3806
Is Sole Proprietor?:No
Enumeration Date:2006-11-28
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CO27120207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
H83684Medicare UPIN