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Individual

MR. CHARLES WILLIAM MOORE II

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHYSICIAN ASSISTANT

Contact information

Practice address
3475 N SARATOGA ST, OAK HARBOR, WA 98278-1894
(360) 475-4426
(360) 475-4344
Mailing address
3475 N SARATOGA ST, OAK HARBOR, WA 98278-4927
(360) 257-9927

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1029863

Other

Enumeration date
10/27/2005
Last updated
03/13/2025
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