MEDICARE: CHRISTOPHER D PAGE DPM

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	213E00000X	Podiatrist	E4420	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1366429045
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTOPHER D PAGE DPM

Provider Business Mailing Address
First Line	:	370 DEL NORTE AVE
Second Line	:	SUITE 201
City	:	YUBA CITY
State	:	CA
Zip	:	95991
Country	:	US
Telephone Number	:	530-671-2650
Fax Number	:	530-671-4265

Provider Business Practice Location Address
First Line	:	370 DEL NORTE AVE
Second Line	:	SUITE 201
City	:	YUBA CITY
State	:	CA
Zip	:	95991-4142
Country	:	US
Telephone Number	:	530-671-2650
Fax Number	:	530-671-4265

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/23/2005
Last Update Date	:	01/19/2011

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Directions to “ CHRISTOPHER D PAGE DPM” Practice Location

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