Individual
CHRISTOPHER M HANIFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1400 E BOULDER ST, COLORADO SPRINGS, CO 80909-5533
(719) 365-6820
(719) 365-6595
Mailing address
71 PORTERS PASS, APT #1, BERLIN, CT 06037-1415
(727) 543-1043
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA.0005780
CO
363AS0400X
Surgical Physician Assistant
3715
CT
Other
Enumeration date
08/02/2016
Last updated
10/14/2021
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