Individual
WESLEY CHARLTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
829 CHIEF EDDIE HOFFMAN HIGHWAY, BETHEL, AK 99559
(907) 543-6300
Mailing address
633 GOV CARLOS CAMACHO RD., ST.LUCY'SEYE CLINIC SUITE 103 GUAM MEDICAL PLASA, TAMUNING, GU 96913
(671) 647-5829
(671) 647-5830
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
123
AK
152W00000X
Optometrist
Primary
OL-046
GU
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
OD11233
—
AK
Enumeration date
05/01/2007
Last updated
06/09/2017
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