Individual
DR. CHRISTOPHER NICHOLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
27TH SOMG 224 W D. L. INGRAM AVENUE, BLDG. 1408, CANNON AIR FORCE BASE, NM 88103-0000
(402) 559-7249
Mailing address
27TH SOMG 224 W D. L. INGRAM AVENUE, BLDG. 1408, CANNON AIR FORCE BASE, NM 88103
(575) 784-2377
(575) 784-2308
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
36090
NE
Other
Enumeration date
06/05/2022
Last updated
08/05/2025
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