Individual
MR. CHRISTOPHER JOSEPH TIPTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
600 E MCDONALD AVE, MAN, WV 25635-1023
(304) 583-8585
(304) 583-0129
Mailing address
7400 LYNN AVE, HAMLIN, WV 25523-1138
(304) 824-5806
(304) 824-5885
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
342
WV
363AM0700X
Medical Physician Assistant
969
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810025955
—
WV
Enumeration date
11/16/2005
Last updated
08/21/2024
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