Provider Demographics
NPI:1891956421
Name:OLIVER, CHRISTOPHER L (MD)
Entity Type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:L
Last Name:OLIVER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:2535 S DOWNING ST
Mailing Address - Street 2:SUITE 480
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80210-5847
Mailing Address - Country:US
Mailing Address - Phone:303-778-5658
Mailing Address - Fax:303-778-5621
Practice Address - Street 1:2535 S DOWNING ST
Practice Address - Street 2:SUITE 480
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80210-5847
Practice Address - Country:US
Practice Address - Phone:303-778-5658
Practice Address - Fax:303-778-5621
Is Sole Proprietor?:No
Enumeration Date:2008-06-17
Last Update Date:2015-05-06
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
AZ40924207Y00000X
CO48097207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ374857Medicaid
CO24336271Medicaid
COCO305502Medicare PIN
AZ374857Medicaid
CO24336271Medicaid