Individual
DR. CHRISTOPHER LEE REARDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D. M.D.
Contact information
Practice address
650 E INDIAN SCHOOL RD, CARL T. HAYDEN VA MEDICAL CENTER, PHOENIX, AZ 85012-1839
(602) 277-5551
(602) 200-6005
Mailing address
650 E INDIAN SCHOOL RD, CARL T. HAYDEN VA MEDICAL CENTER, PHOENIX, AZ 85012-1839
(602) 277-5551
(602) 200-6005
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
30050
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0130008
—
CO
Enumeration date
07/02/2006
Last updated
07/08/2007
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