Individual
DR. CHARLES WILLIAM RICE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
90 BEAVER DR, BLD. D, DU BOIS, PA 15801-2440
(814) 371-6442
(814) 371-4245
Mailing address
90 BEAVER DR, BLD. D, DU BOIS, PA 15801-2440
(814) 371-6442
(814) 371-4245
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
SC002358L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001397055
—
PA
01
—
5853210001
DME SUPPLIER #
PA
Enumeration date
12/08/2006
Last updated
10/27/2011
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