Individual
CHARLES HOWARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
355TH MEDICAL GROUP, 4175 S. ALAMO AVE, DAVIS MONTHAN AFB, AZ 85707
(505) 846-3200
Mailing address
4175 S. ALAMO AVE, DAVIS MONTHAN AFB, AZ 85707
Taxonomy
Speciality
Code
Description
License number
State
2083A0100X
Aerospace Medicine Physician
Primary
A105646
CA
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
05/22/2008
Last updated
09/08/2022
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