Organization
CHARLES F YEAGLE, MD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES FRANCIS YEAGLE III MD (OWNER)
(719) 846-1700
Entity
Organization
Contact information
Practice address
400 BENEDICTA AVE, SUITE F, TRINIDAD, CO 81082-2099
(719) 846-1700
(719) 846-1704
Mailing address
400 BENEDICTA AVE, SUITE F, TRINIDAD, CO 81082-2099
(719) 846-1700
(719) 846-1704
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41678842
—
CO
Enumeration date
08/30/2006
Last updated
08/22/2020
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