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Individual

CHARLES E LEAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
515 28 3/4 RD, GRAND JUNCTION, CO 81501-5016
(970) 241-6023
(970) 242-8330
Mailing address
PO BOX 40, GLENWOOD SPRINGS, CO 81602-0040
(970) 945-2241
(970) 945-5523

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
18524
CO
2084P0804X
Child & Adolescent Psychiatry Physician
18524
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
62535358
CO
Enumeration date
04/28/2006
Last updated
12/24/2009
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