Individual
DR. CHARLES STANLEY HAMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
301 W POPLAR ST, SUITE 210, WALLA WALLA, WA 99362-2858
(509) 522-5825
(509) 529-3512
Mailing address
PO BOX 32, LIBERTY LAKE, WA 99019-0032
(866) 747-2455
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
MD042780E
PA
207RG0100X
Gastroenterology Physician
Primary
MD60308244
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2033501
—
WA
05
—
500666746
—
OR
Enumeration date
03/06/2006
Last updated
05/21/2021
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