Individual
CHARLES RICHARD EMERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
SOLDIER CREEK ROAD, ROSEBUD IHS HOSPITAL, ROSEBUD, SD 57570-1006
(605) 747-2231
Mailing address
PO BOX 1006, ROSEBUD, SD 57570-1006
(605) 747-2231
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0507
SD
Other
Enumeration date
09/28/2006
Last updated
07/08/2007
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