Individual
CHRISTOPHER M DISCOLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
13123 E 16TH AVE, AURORA, CO 80045-7106
(720) 777-1234
Mailing address
2100 16TH ST UNIT 211, DENVER, CO 80202-5184
(843) 637-1024
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
01084434A
IN
207Y00000X
Otolaryngology Physician
30640
SC
207Y00000X
Otolaryngology Physician
35084914
OH
207YP0228X
Pediatric Otolaryngology Physician
30640
SC
207YP0228X
Pediatric Otolaryngology Physician
Primary
DR.0071170
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
063220062
MEDICARE PTAN
IN
05
—
300041110
—
IN
Enumeration date
05/31/2006
Last updated
02/18/2025
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