Provider Demographics
NPI:1669654802
Name:OROS, CHRISTOPHER KEVIN (DO)
Entity Type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:KEVIN
Last Name:OROS
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 29434
Mailing Address - Street 2:
Mailing Address - City:PHENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85038-0365
Mailing Address - Country:US
Mailing Address - Phone:610-278-2000
Mailing Address - Fax:
Practice Address - Street 1:1215 N. BEAVER STREET
Practice Address - Street 2:FMC HOSPITALIST PROGRAM
Practice Address - City:FLAGSTAFF
Practice Address - State:AZ
Practice Address - Zip Code:86001-3118
Practice Address - Country:US
Practice Address - Phone:610-278-2000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-29
Last Update Date:2012-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOT010785207Q00000X
AZ005369207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine