Organization
CHARLES M. OLMSTED, M.D. PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES OLMSTED MD (OWNER)
(304) 327-1565
Entity
Organization
Contact information
Practice address
500 CHERRY ST, BLUEFIELD, WV 24701-3306
(304) 327-1565
Mailing address
500 CHERRY ST, BLUEFIELD, WV 24701-3306
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1427240266
—
VA
05
—
3810010504
—
WV
Enumeration date
08/15/2007
Last updated
01/07/2011
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