Provider Demographics
NPI:1518024488
Name:HILLS, CHRISTOPHER CLAYTON (DO)
Entity Type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:CLAYTON
Last Name:HILLS
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:PO BOX 10490
Mailing Address - Street 2:
Mailing Address - City:JACKSON
Mailing Address - State:WY
Mailing Address - Zip Code:83002-0490
Mailing Address - Country:US
Mailing Address - Phone:307-733-3900
Mailing Address - Fax:307-732-0925
Practice Address - Street 1:555 E BROADWAY AVE
Practice Address - Street 2:
Practice Address - City:JACKSON
Practice Address - State:WY
Practice Address - Zip Code:83001-8640
Practice Address - Country:US
Practice Address - Phone:307-733-3900
Practice Address - Fax:307-732-0925
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-02
Last Update Date:2014-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE478207X00000X
NC2013-01139207X00000X
WY9748A207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery