Individual
DR. CHRISTIAN O UPDIKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
12401 E 17TH AVE STE 783, AURORA, CO 80045-2548
(855) 945-2548
Mailing address
2695 ROCKY MOUNTAIN AVE STE 150, LOVELAND, CO 80538-9071
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
39176
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
99733331
—
CO
Enumeration date
03/28/2006
Last updated
08/09/2021
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