Organization
CHARLES R. WELFORD MD SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES R WELFORD I MD (PRESIDENT)
(815) 398-9386
Entity
Organization
Contact information
Practice address
5707 STRATHMOOR DR, ROCKFORD, IL 61107-5161
(815) 398-9386
Mailing address
5707 STRATHMOOR DR, ROCKFORD, IL 61107-5161
(815) 398-9386
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036-057923
IL
Other
Enumeration date
06/03/2010
Last updated
06/03/2010
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