Individual
CHARLES H CHESNUT III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
UWMC-ROOSEVELT, 4245 ROOSEVELT WAY NE, SEATTLE, WA 98105-4740
(206) 598-4288
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
Taxonomy
Speciality
Code
Description
License number
State
207U00000X
Nuclear Medicine Physician
Primary
MD00011188
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110075127
RAILROAD MEDICARE
WA
05
—
1152206
—
WA
01
—
1153
INTERNAL ID-MOTOR VEHICLE ID
—
Enumeration date
10/27/2006
Last updated
05/30/2008
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