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NPI Code Detail

MEDICARE: DR. CHRISTIAN A SPEER M.D.

MEDICARE: DR. CHRISTIAN A SPEER M.D.
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
1207RG0100XGastroenterology PhysicianMD27869OR

Other Identifiers

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

General Provider Information

NPI Number : 1407826563
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CHRISTIAN A SPEER M.D.
Provider Business Mailing Address
First Line : 5125 SKYLINE RD S
Second Line : GASTROENTEROLOGY
City : SALEM
State : OR
Zip : 97306-9427
Country : US
Telephone Number : 503-763-3676
Fax Number : 503-315-4668
Provider Business Practice Location Address
First Line : 5125 SKYLINE RD S
Second Line : GASTROENTEROLOGY
City : SALEM
State : OR
Zip : 97306-9427
Country : US
Telephone Number : 503-763-3676
Fax Number : 503-315-4668
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/23/2006
Last Update Date : 02/04/2022

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