Individual
CHARLES HUGHES CARDARELLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2271 W IRONWOOD CENTER DR, COEUR D ALENE, ID 83814-2659
(208) 667-2485
(208) 667-2487
Mailing address
2271 W IRONWOOD CENTER DR, COEUR D ALENE, ID 83814-2659
(208) 667-2485
(208) 667-2487
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
M4142
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1113567
—
ID
Enumeration date
08/30/2006
Last updated
07/08/2007
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