Individual
DOUGLAS LEE CHARLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
105 W MAIN ST, VALLEY VIEW, PA 17983-9423
(570) 682-8026
(570) 682-8043
Mailing address
7 DOCK HILL RD, MIDDLEBURG, PA 17842-8910
(570) 837-2123
(570) 837-2185
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS014174
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1023783600002
—
PA
Enumeration date
05/17/2007
Last updated
04/13/2022
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