Individual
THOMAS H. CHARLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
4102 S REGAL ST, SUITE 101, SPOKANE, WA 99223-7737
(509) 535-2277
Mailing address
PO BOX 34584, SEATTLE, WA 98124-1584
(509) 241-7349
(509) 241-7628
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA10000508
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8388894
—
WA
Enumeration date
01/04/2007
Last updated
05/09/2008
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