Healthcare Provider Details
I. General information
NPI: 1669679122
Provider Name (Legal Business Name): CHRISTOPHER ESPER
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 06/28/2007
Last Update Date: 03/25/2021
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2000 MEMORIAL DR SUITE A
FARRELL PA
16121-1366
US
IV. Provider business mailing address
2 HOT METAL ST QUANTUM ONE, SUITE 001
PITTSBURGH PA
15203-2348
US
V. Phone/Fax
- Phone: 724-983-8882
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2086S0129X |
| Taxonomy | Vascular Surgery Physician |
| License Number | OS012534 |
| License Number State | PA |
VII. Legacy identifiers
For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: