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Individual
DR. CHARLES HENRY TADLOCK
Active
Individual
DR. CHARLES HENRY TADLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
26067
AZ
207LP2900X
Pain Medicine (Anesthesiology) Physician
5937479-1205
UT
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
8402
NV
207LP2900X
Pain Medicine (Anesthesiology) Physician
G62878
CA
Other
Enumeration date
09/15/2005
Last updated
10/19/2011
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