Individual
DR. CHRISTIAN MANNING HULL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
US HWY 491 NORTH, SHIPROCK, NM 87420
(505) 368-6401
(505) 368-6431
Mailing address
PO BOX 160, SHIPROCK, NM 87420
(505) 368-6401
(505) 368-6431
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
9901208
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01131257
—
NM
05
—
12652733
—
CO
05
—
688624
—
AZ
Enumeration date
09/07/2006
Last updated
01/09/2008
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