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NPI Code Detail

MEDICARE: DR. CHRISTOPHER W GIST MD

MEDICARE: DR. CHRISTOPHER W GIST 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
1208800000XUrology Physician61478AZ
2208800000XUrology PhysicianMD450397PA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1881685584
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CHRISTOPHER W GIST MD
Provider Business Mailing Address
First Line : PO BOX 43100
Second Line :
City : TUCSON
State : AZ
Zip : 85733-3100
Country : US
Telephone Number : 520-348-7900
Fax Number : 520-244-1209
Provider Business Practice Location Address
First Line : 1100 N EL DORADO PL
Second Line :
City : TUCSON
State : AZ
Zip : 85715-4606
Country : US
Telephone Number : 520-348-7900
Fax Number : 520-244-1209
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/02/2005
Last Update Date : 02/03/2021

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Directions to “ DR. CHRISTOPHER W GIST MD” Practice Location

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