Individual
DR. CHRISTOPHER ROBERT MCNULTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1633 MEDICAL CENTER POINT, COLORADO SPRINGS, CO 80907
(719) 636-2999
(719) 667-4105
Mailing address
2 SOUTH CASCADE AVENUE, SUITE 140, COLORADO SPRINGS, CO 80903-1604
(719) 538-2900
(719) 538-2961
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
DR.0045851
CO
207Q00000X
Family Medicine Physician
DO1926
NV
207Q00000X
Family Medicine Physician
DR.0045851
CO
207QA0505X
Adult Medicine Physician
G8547
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1083604045
SMA MEDICAID
NV
05
—
9000126932
—
CO
01
—
V109653
SMA MEDICARE
NV
Enumeration date
10/21/2005
Last updated
08/31/2018
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