institution
Charles H. Tadlock, M.d. Ltd.
Family Nurse Practitioner in Kingman, Arizona
NPI 1548422876

Charles H. Tadlock, M.d. Ltd. is a Family Nurse Practitioner based in Las Vegas, AZ and is specialized in Family. Charles H. Tadlock, M.d. Ltd. practices in Kingman, AZ. The NPI Number for Charles H. Tadlock, M.d. Ltd. is 1548422876 and holds a License No. 26067 (Arizona).

The current practice location address for Charles H. Tadlock, M.d. Ltd. is 1912 Miami Ave, Kingman, AZ and can be reached out via phone at 702-474-0200 and via fax at 702-946-5328. You can also correspond with Charles H. Tadlock, M.d. Ltd. through the mailing address at 6725 S EASTERN AVE, LAS VEGAS, NV - 89119-3916 (mailing address contact number: 702-474-0200).

Location: 1912 Miami Ave, Kingman, AZ, 89119-3916
institution
Provider Profile Details
NPI Number
1548422876
Provider Name
Charles H. Tadlock, M.d. Ltd.
Credential
Provider Entity Type
Organization
Address
1912 Miami Ave, Kingman, AZ, 89119-3916
Phone Number
702-474-0200
Fax Number
702-946-5328
Provider Enumeration Date
06/27/2008
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
35714 01 AZ MEDICARE INDIVIDUAL PIN (TADLOCK)
Z149395 01 AZ MEDICARE PIN JULIE BROWN, FNP
069618 05 AZ
Z146133 01 AZ MEDICARE PIN GERALD JONES, PA-C
720000127 01 AZ RR MEDICARE
institution
Provider Business Practice Location Address Details
Address
1912 Miami Ave
City
State
Zip
86401-4127
Phone Number
702-474-0200
Fax Number
702-946-5328
person
Provider Business Mailing Address Details
Address
6725 S Eastern Ave
City
State
Zip
89119-3916
Phone Number
702-474-0200
Fax Number
702-946-5328
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Anesthesiology
Speciality
Pain Medicine
Taxonomy
License No.
AP4247 (Arizona)
Definition
An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
4873 (Arizona)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
26067 (Arizona)
Definition
Definition to come...
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