Individual
DR. CHARLES R FALTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
314 E ALBENI HWY, SUITE 102, PRIEST RIVER, ID 83856-9207
(208) 448-2321
(208) 448-1317
Mailing address
PO BOX 729, PRIEST RIVER, ID 83856-0729
(208) 448-2321
(208) 448-1317
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0-24
ID
Other
Enumeration date
04/05/2006
Last updated
06/29/2010
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