Individual
CHARLES L. PELTON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
310 S PENN ST, SUITE 202, ABERDEEN, SD 57401-4553
(605) 622-2573
(605) 622-2574
Mailing address
PO BOX 1460, ABERDEEN, SD 57402-1460
(605) 622-2856
(605) 622-2859
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0748
SD
Other
Enumeration date
06/08/2010
Last updated
06/08/2010
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