Individual
MR. CHRISTOPHER DAVID ORR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1701 MENTOR AVE STE 10, PAINESVILLE, OH 44077-1459
(619) 933-8590
(440) 579-0187
Mailing address
8030 HUMPHREY HILL DR, CONCORD TOWNSHIP, OH 44077-8738
(619) 933-8590
(440) 579-0187
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.003532
OH
363A00000X
Physician Assistant
PA20215
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0068337
—
OH
01
—
2048816199IG
CARESOURCE
OH
01
—
50.003532
LICENSE
OH
01
—
9004917
AETNA
OH
Enumeration date
04/29/2009
Last updated
08/04/2024
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