Individual
WALDECK CHARLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1400 N GILBERT RD, SUITE H, GILBERT, AZ 85234-2328
(602) 315-7033
(480) 813-4534
Mailing address
1400 N GILBERT RD, SUITE H, GILBERT, AZ 85234-2328
(602) 315-7033
(480) 813-4534
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
33521
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
915366
—
AZ
Enumeration date
11/01/2006
Last updated
01/16/2012
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