Individual
PAUL WILLIAM CHARLTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
516 E NIZHONI BLVD, GALLUP, NM 87301-5748
(505) 722-1165
Mailing address
325 9TH AVE, MAILSTOP 359702, SEATTLE, WA 98104-2420
(206) 744-8334
(206) 744-4095
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD60757311
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/13/2014
Last updated
06/25/2018
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