Charles a Wardle

NPI #1154503605 in Longview, Washington

Provider Information

NPI Number: 1154503605
Entity Type: Organization
Organization Name: Charles a Wardle
Primary Specialty: Optometrist
Enumeration Date: Nov 27, 2007
Last Updated: Sep 23, 2010

Practice Location

Address: 1426 COMMERCE AVE
City: Longview
State: Washington
ZIP Code: 98632-3720
Phone: (360) 423-7650

Authorized Official

Name: MRS. DARCY DAVIS, L.D.O.
Title: OFFICE MANAGER
Phone: (360) 423-7650

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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