Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208G00000X | Cardiothoracic Vascular Surgeon | 0101046943 | VA |
NPI | 1154343473 |
---|---|
Provider Name | Thomas D Christopher |
First Address | Richmond, VA 23225-4017 |
Second Address | Richmond, VA 23225-4017 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/07/2006 |
Last Update Date | 08/04/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0101046943 | MEDICAL LICENSE (01) | VA |
1154343473 | (05) | VA |
6033521 | (05) | VA |
BC2767311 | DEA (01) | |
E93391 | (02) | VA |