Provider Demographics
NPI:1225264732
Name:SELLERS, CHRISTOPHER TODD (CSA)
Entity Type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:TODD
Last Name:SELLERS
Suffix:
Gender:M
Credentials:CSA
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Other - First Name:
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Mailing Address - Street 1:5155 E EAGLE DRIVE
Mailing Address - Street 2:#20730
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85277-3031
Mailing Address - Country:US
Mailing Address - Phone:480-706-9430
Mailing Address - Fax:
Practice Address - Street 1:4320 E. PRESIDIO STREET
Practice Address - Street 2:#101
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85215-1165
Practice Address - Country:US
Practice Address - Phone:480-706-9430
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-10
Last Update Date:2021-07-19
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical