Individual
MR. CHARLES DOUGLAS LITTELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
26 MILES WEST OF GREEN RIVER, GREEN RIVER, WY 82935-0872
(307) 872-2250
(307) 872-2569
Mailing address
PO BOX 872, ROBERTSON, WY 82944-0173
(208) 227-3536
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
218
WY
Other
Enumeration date
04/27/2007
Last updated
07/08/2007
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