Provider Demographics
NPI:1801843396
Name:MILFORD, CHRISTOPHER M (MD)
Entity Type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:M
Last Name:MILFORD
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1621 E FLAMINGO RD STE 16A
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89119-5276
Mailing Address - Country:US
Mailing Address - Phone:702-956-0996
Mailing Address - Fax:702-965-2216
Practice Address - Street 1:1621 E FLAMINGO RD STE 16A
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89119-5276
Practice Address - Country:US
Practice Address - Phone:702-956-0996
Practice Address - Fax:702-965-2216
Is Sole Proprietor?:No
Enumeration Date:2006-05-28
Last Update Date:2024-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV108922084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NVDB535ZMedicare PIN