Individual
MR. CHARLES D PREWITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1901 S UNION AVE, STE B3001, TACOMA, WA 98405-1702
(253) 272-7614
(253) 383-1381
Mailing address
1901 S UNION AVE, STE B3001, TACOMA, WA 98405-1702
(253) 272-7614
(253) 383-1381
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
MD00009048
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1693100
—
WA
Enumeration date
12/27/2006
Last updated
05/17/2012
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