Provider Demographics
NPI:1356528111
Name:NAGLE, CHRISTOPHER CONRAD (MD, MPH, MS)
Entity type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:CONRAD
Last Name:NAGLE
Suffix:
Gender:M
Credentials:MD, MPH, MS
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 572
Mailing Address - Street 2:
Mailing Address - City:FLINT HILL
Mailing Address - State:VA
Mailing Address - Zip Code:22627-0572
Mailing Address - Country:US
Mailing Address - Phone:540-227-4840
Mailing Address - Fax:
Practice Address - Street 1:12625 LEE HWY
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:VA
Practice Address - Zip Code:22747-1931
Practice Address - Country:US
Practice Address - Phone:540-227-4840
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-01-23
Last Update Date:2019-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101252985207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine