Individual
CHRISTOPHER MICHAEL PETIPRIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4100 DUVAL RD, BUILDING 3, SUITE 100, AUSTIN, TX 78759-3550
(512) 550-8828
Mailing address
PO BOX 201652, AUSTIN, TX 78720-1652
(512) 550-8828
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
09/18/2019
Last updated
09/18/2019
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