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Individual
CHRISTOPHER JON MEHALLO
Active
Individual
CHRISTOPHER JON MEHALLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
OS-012486
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2123312000
IBC
PA
01
—
3215014
AETNA
PA
01
—
4412252
CIGNA
—
01
—
P2954746
OXFORD
PA
Enumeration date
07/26/2006
Last updated
02/24/2022
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