Individual
CHRISTOPHER DON COURTNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
527 MEDICAL PARK DR STE 400, BRIDGEPORT, WV 26330-9010
(681) 342-3550
(681) 342-3507
Mailing address
527 MEDICAL PARK DR STE 400, BRIDGEPORT, WV 26330-9010
(681) 342-3550
(681) 342-3507
Taxonomy
Speciality
Code
Description
License number
State
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
Primary
2398
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810015570
—
WV
01
—
4264621
MEDICARE PTAN
WV
Enumeration date
09/03/2008
Last updated
04/05/2022
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