Individual
CHRISTOPHER J CHARBONNET
Active
Individual
CHRISTOPHER J CHARBONNET
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
G79131
CA
208VP0000X
Pain Medicine Physician
G79131
CA
208VP0014X
Interventional Pain Medicine Physician
Primary
G79131
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G791310
BLUE SHIELD
CA
05
—
00G791310
—
CA
Enumeration date
08/10/2006
Last updated
10/14/2021
Update your record
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