Provider Demographics
NPI:1487670717
Name:PRIOR, CHRISTOPHER M (DO)
Entity Type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:M
Last Name:PRIOR
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:1333 W 5TH ST, STE 110
Mailing Address - Street 2:
Mailing Address - City:SHERIDAN
Mailing Address - State:WY
Mailing Address - Zip Code:82801-2752
Mailing Address - Country:US
Mailing Address - Phone:307-675-2650
Mailing Address - Fax:307-756-2651
Practice Address - Street 1:61 S GOULD ST
Practice Address - Street 2:
Practice Address - City:SHERIDAN
Practice Address - State:WY
Practice Address - Zip Code:82801-6304
Practice Address - Country:US
Practice Address - Phone:307-675-2690
Practice Address - Fax:307-675-2691
Is Sole Proprietor?:No
Enumeration Date:2006-07-13
Last Update Date:2022-10-13
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CO43744207Q00000X, 207QS0010X
WY9784A207Q00000X, 207QS0010X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QS0010XAllopathic & Osteopathic PhysiciansFamily MedicineSports Medicine
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
COP00479748OtherRAILROAD MEDICARE