Individual
CHARLES PHILLIP SCHNEIDER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
206 E ELM ST, CALDWELL, ID 83605-4815
(208) 459-4511
(208) 459-6602
Mailing address
206 E ELM ST, CALDWELL, ID 83605-4815
(208) 459-4511
(208) 459-6602
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
M3796
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003943100
—
ID
Enumeration date
10/17/2005
Last updated
07/08/2007
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