Individual
CHARLES HALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3356 KING EDWARDS CT, EUGENE, OR 97401-8513
(702) 588-3438
(702) 384-1815
Mailing address
2020 PALOMINO LN, # 100, LAS VEGAS, NV 89106-4894
(702) 759-8600
(702) 384-1815
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
5485
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200290010
—
NV
05
—
200470500A
—
OK
Enumeration date
05/08/2006
Last updated
02/20/2013
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