Healthcare Provider Details

I. General information

NPI: 1598755092
Provider Name (Legal Business Name): CHRISTOPHER STEVEN WILLIAMS D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/26/2005
Last Update Date: 03/23/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1725 E BOULDER ST STE 101
COLORADO SPRINGS CO
80909-5740
US

IV. Provider business mailing address

8890 N UNION BLVD STE 160
COLORADO SPRINGS CO
80920-7799
US

V. Phone/Fax

Practice location:
  • Phone: 719-365-6300
  • Fax: 719-365-6094
Mailing address:
  • Phone: 719-365-9950
  • Fax: 719-365-9969

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084N0600X
TaxonomyClinical Neurophysiology Physician
License NumberJ9441
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License Number44355
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: