Healthcare Provider Details

I. General information

NPI: 1487670717
Provider Name (Legal Business Name): CHRISTOPHER M. PRIOR D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/13/2006
Last Update Date: 10/20/2025
Certification Date: 10/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1470 SUGARLAND DR STE 1
SHERIDAN WY
82801-5774
US

IV. Provider business mailing address

1333 W 5TH ST STE 110
SHERIDAN WY
82801-2752
US

V. Phone/Fax

Practice location:
  • Phone: 307-673-2411
  • Fax: 307-675-2664
Mailing address:
  • Phone: 307-673-2411
  • Fax: 307-675-2602

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QS0010X
TaxonomySports Medicine (Family Medicine) Physician
License Number9784A
License Number StateWY
# 2
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number9784A
License Number StateWY
# 3
Primary TaxonomyN
Taxonomy Code207QS0010X
TaxonomySports Medicine (Family Medicine) Physician
License Number43744
License Number StateCO
# 4
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number43744
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: