Individual
DR. CHARLES ANTHONY SHURLOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2510 5TH ST, BLDG 840, AREA B, WRIGHT PATTERSON AFB, OH 45433-7951
(937) 938-2736
(937) 656-4006
Mailing address
2510 5TH ST, BLDG 840, AREA B, WRIGHT PATTERSON AFB, OH 45433-7951
(937) 938-2736
(937) 656-4006
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
34.009947
OH
207P00000X
Emergency Medicine Physician
5101010571
MI
207Q00000X
Family Medicine Physician
5101010571
MI
Other
Enumeration date
09/30/2005
Last updated
11/08/2011
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