Provider Demographics
NPI:1588854707
Name:BOONE, CHRISTOPHER (PA)
Entity Type:Individual
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First Name:CHRISTOPHER
Middle Name:
Last Name:BOONE
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Gender:M
Credentials:PA
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Mailing Address - Street 1:251 COHASSET RD
Mailing Address - Street 2:SUITE 130
Mailing Address - City:CHICO
Mailing Address - State:CA
Mailing Address - Zip Code:95926-2235
Mailing Address - Country:US
Mailing Address - Phone:530-332-6045
Mailing Address - Fax:530-893-6980
Practice Address - Street 1:251 COHASSET RD
Practice Address - Street 2:SUITE 130
Practice Address - City:CHICO
Practice Address - State:CA
Practice Address - Zip Code:95926-2241
Practice Address - Country:US
Practice Address - Phone:530-332-6045
Practice Address - Fax:530-893-6980
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-25
Last Update Date:2010-01-15
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical