Individual
DR. CHET THARPE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
320 LINCOLN BLVD #100, VENICE, CA 90291-9029
(310) 697-8126
Mailing address
504 N MEADOW ST, RICHMOND, VA 23220-2804
(601) 559-6188
Taxonomy
Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
Primary
67006-20
WI
207KA0200X
Allergy Physician
ME122884
FL
207R00000X
Internal Medicine Physician
ME122884
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03185790
—
MS
Enumeration date
07/17/2009
Last updated
02/27/2023
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