MEDICARE: CHRISTOPHER C BREEDEN 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	207RP1001X	Pulmonary Disease Physician	11529	NV

General Provider Information

NPI Number	:	1508807918
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTOPHER C BREEDEN MD

Provider Business Mailing Address
First Line	:	715 MALL RING CIR STE 202
Second Line	:
City	:	HENDERSON
State	:	NV
Zip	:	89014-6667
Country	:	US
Telephone Number	:	702-483-6200
Fax Number	:	702-483-6202

Provider Business Practice Location Address
First Line	:	715 MALL RING CIR STE 202
Second Line	:
City	:	HENDERSON
State	:	NV
Zip	:	89014-6667
Country	:	US
Telephone Number	:	702-483-6200
Fax Number	:	702-483-6202

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

Provider Enumeration Date	:	06/09/2006
Last Update Date	:	06/09/2022

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Directions to “ CHRISTOPHER C BREEDEN MD” Practice Location

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