Provider Demographics
NPI:1265491112
Name:WEST, CHRISTOPHER JAMES (DO)
Entity Type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:JAMES
Last Name:WEST
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10259 S PARKER RD
Mailing Address - Street 2:STE 200
Mailing Address - City:PARKER
Mailing Address - State:CO
Mailing Address - Zip Code:80134-9392
Mailing Address - Country:US
Mailing Address - Phone:303-805-2273
Mailing Address - Fax:
Practice Address - Street 1:10259 S PARKER RD
Practice Address - Street 2:STE 200
Practice Address - City:PARKER
Practice Address - State:CO
Practice Address - Zip Code:80134-9392
Practice Address - Country:US
Practice Address - Phone:303-805-2273
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-20
Last Update Date:2014-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO40652207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO20247148901OtherPACIFICARE PROVIDER NUMBE
CO673471OtherBCBS PROVIDER NUMBER
CO7599715OtherAETNA PROVIDER NUMBER
COH34628Medicare UPIN
COC801875Medicare ID - Type UnspecifiedMEDICARE INDIVIDUAL NUMBE
CO20247148901OtherPACIFICARE PROVIDER NUMBE