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Organization

CHARLES G WELCH, P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CHARLES G WELCH MD (PRESIDENT)
(307) 587-9800
Entity
Organization

Contact information

Practice address
1613 STAMPEDE AVE, SUITE A, CODY, WY 82414-4710
(307) 587-9800
(307) 587-9830
Mailing address
PO BOX 1330, POWELL, WY 82435-1330
(307) 754-3319
(307) 754-2443

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
6582A
WY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
125126100
WY
Enumeration date
10/16/2007
Last updated
12/22/2010
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