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Individual

DR. CHRISTOPHER MICHAEL SHORT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D.

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG001171
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01917852
PA
01
PA7199
EYEMED
PA
01
SH344195
HIGHMARK BC/BS
PA
Enumeration date
08/11/2005
Last updated
07/08/2007
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