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Organization

TRACY D. CHARLES M.D. INC

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Organization

TRACY D. CHARLES M.D. INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TRACY DENISE CHARLES M.D. (OWNER)
(951) 695-9648
Entity
Organization

Contact information

Practice address
27574 COMMERCE CENTER DR, SUITE 236, TEMECULA, CA 92590-2535
(951) 695-9648
Mailing address
27574 COMMERCE CENTER DR, SUITE 232, TEMECULA, CA 92590-2500
(951) 695-9648

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
A46552
CA

Other

Enumeration date
03/26/2008
Last updated
05/21/2012
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