| Doctor Name: | CHRISTOPHER C PEINE |
| NPI Number: | 1073529202 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | D.O. |
| License Number: | O-0366 |
| Business Practice Address: | 507 S Fitness Pl Ste 110 Eagle, ID - 836166552 |
| Business Phone Number: | 2089470926 |
| Business Fax Number: | 8316366108 |
| Mailing Address: | 507 S Fitness Pl, Ste 110 EAGLE |
| State: | ID |
| Postal Code: | 836166552 |
| Phone Number: | 2089470925 |
| Fax Number: | 2089470926 |
| NPI Enumeration Date: | 07/31/2006 |
| NPI Last Update Date: | 04/14/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 204D00000X |
| License Number: | O-0366 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | ID |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Neuromusculoskeletal Medicine & OMM |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |