Individual
CHRISTOPHER C CAUDILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1021 N 27TH ST, LINCOLN, NE 68503-1803
(402) 476-1455
(402) 476-1655
Mailing address
1021 N 27TH ST, LINCOLN, NE 68503-1803
(402) 476-1455
(402) 476-1655
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
12812
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100115310C
—
KS
05
—
1537084
—
IA
05
—
201944410
—
MO
05
—
47084496100
—
NE
05
—
7702840
—
SD
Enumeration date
05/12/2006
Last updated
07/18/2012
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