Individual
CHARLES G WELCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1613 STAMPEDE AVE, SUITE A, CODY, WY 82414-4710
(307) 587-9800
(307) 587-9830
Mailing address
449 MOUNTAIN VIEW ST, POWELL, WY 82435-2232
(307) 754-4559
(307) 754-7733
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
6582A
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020050984
RAILROAD MEDICARE
WY
05
—
116620400
—
WY
01
—
311069
BLUE CROSS BLUE SHIELD
WY
01
—
315520
BLUE CROSS BLUE SHIELD
WY
Enumeration date
10/14/2005
Last updated
04/03/2009
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