Healthcare Provider Details

I. General information

NPI: 1497838676
Provider Name (Legal Business Name): CHRISTOPHER ERIC CIEURZO MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/23/2006
Last Update Date: 05/13/2025
Certification Date: 05/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10TH MDG 4102 PINION DR
USAF ACADEMY, COLORADO SPRINGS CO
80840
US

IV. Provider business mailing address

10TH MDG 4102 PINION DR
USAF ACADEMY, COLORADO SPRINGS CO
80840
US

V. Phone/Fax

Practice location:
  • Phone: 719-333-6239
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207QS0010X
TaxonomySports Medicine (Family Medicine) Physician
License Number39656-20
License Number StateWI
# 2
Primary TaxonomyY
Taxonomy Code2083A0100X
TaxonomyAerospace Medicine Physician
License Number39656-20
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: