Individual
CHARLES GAZOO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
501 SUNSET LN, CULPEPER, VA 22701-3917
(540) 829-4100
(540) 829-5757
Mailing address
501 SUNSET LN, CULPEPER, VA 22701-3917
(540) 829-4100
(540) 829-5757
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0001151059
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010053099
—
VA
01
—
500018174
RAILROAD MEDICARE
VA
Enumeration date
04/06/2007
Last updated
01/26/2011
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