Individual
DR. JAMES DEARING CHRISTIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1775 THOMPSON RD, COOS BAY, OR 97420-2125
(541) 341-8063
(541) 341-8099
Mailing address
PO BOX 72059, SPRINGFIELD, OR 97475-0285
(541) 341-8063
(541) 341-8099
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
47207
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
47207
MEDICAL LICENSE
AZ
01
—
9487084
AETNA
NC
01
—
P00996854
RAILROAD MEDICARE
NC
05
—
PENDING
—
VA
Enumeration date
05/28/2006
Last updated
08/18/2015
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