Individual
DR. CHARLES WEST WAUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
823 SW MULVANE ST, SUITE 210, TOPEKA, KS 66606-1679
(785) 235-3451
Mailing address
1540 SW LAKESIDE DR, TOPEKA, KS 66604-2530
(785) 235-3451
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
04-21851
KS
207L00000X
Anesthesiology Physician
Primary
04-21851
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050022974
PALMETTO GBA RR MEDICARE
KS
05
—
100206810A
—
KS
Enumeration date
08/23/2005
Last updated
09/12/2011
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