MEDICARE: DR. CHRISTOPHER BATEMAN DEWING MD

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	207X00000X	Orthopaedic Surgery Physician	M-12753	ID
2	207XX0005X	Sports Medicine (Orthopaedic Surgery) Physician	MD60535289	WA
3	207XX0005X	Sports Medicine (Orthopaedic Surgery) Physician	M-12753	ID

General Provider Information

NPI Number	:	1477608875
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHRISTOPHER BATEMAN DEWING MD

Provider Business Mailing Address
First Line	:	PO BOX 1479
Second Line	:
City	:	POST FALLS
State	:	ID
Zip	:	83877-1479
Country	:	US
Telephone Number	:	208-618-6070
Fax Number	:	208-618-8903

Provider Business Practice Location Address
First Line	:	1610 E SCHNEIDMILLER AVE
Second Line	:
City	:	POST FALLS
State	:	ID
Zip	:	83854-7065
Country	:	US
Telephone Number	:	208-618-6070
Fax Number	:	208-618-8903

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

Provider Enumeration Date	:	01/24/2007
Last Update Date	:	12/14/2024

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