Individual
CHRISTIAN TAYLOR GOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1120 E ELIZABETH ST STE F101, FORT COLLINS, CO 80524-4044
(709) 221-1177
(709) 584-1055
Mailing address
DEPT. 453, PO BOX 1000, MEMPHIS, TN 38148-0001
(828) 575-2625
(828) 350-2174
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA.0008334
CO
363A00000X
Physician Assistant
PA14753
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1952931180
—
TX
01
—
2N2420
MEDICARE PTAN
TX
Enumeration date
01/15/2020
Last updated
05/01/2024
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