Individual
MR. CHARLES ERNEST SEDELMYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
2168 FIELD HOUSE DR, USAF ACADEMY, CO 80840-9599
(719) 333-0213
Mailing address
2168 FIELD HOUSE DR, USAF ACADEMY, CO 80840-9599
(719) 333-0213
Taxonomy
Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
AT.0001680
CO
2255A2300X
Athletic Trainer
Primary
AT.0001680
CO
Other
Enumeration date
03/16/2021
Last updated
03/18/2021
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