Individual
DR. CHRISTOPHER CORY NICELY
Active
Individual
DR. CHRISTOPHER CORY NICELY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
24714
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0075347
—
OH
05
—
1037733420001
—
PA
05
—
1548438435
—
WV
Enumeration date
02/14/2008
Last updated
04/05/2021
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