Provider Demographics
NPI:1023823630
Name:PALTING, CHRISTOPHER CAMERON
Entity type:Individual
Prefix:MR
First Name:CHRISTOPHER
Middle Name:CAMERON
Last Name:PALTING
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:125 W OCOTILLO VIS
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85704-6208
Mailing Address - Country:US
Mailing Address - Phone:520-288-4222
Mailing Address - Fax:
Practice Address - Street 1:6488 N ORACLE RD
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85704-5620
Practice Address - Country:US
Practice Address - Phone:520-297-8397
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-11
Last Update Date:2025-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZI026359183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician