Individual
CHARLES P VACLAVIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
680 COHASSET RD, CHICO, CA 95926-2213
(530) 342-4395
(530) 894-2325
Mailing address
PO BOX A D, YUBA CITY, CA 95992-1396
(530) 751-3769
(530) 751-1237
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
20A4121
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30052000
—
WI
Enumeration date
04/20/2006
Last updated
07/05/2011
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