Charles L. Pelton JR., PA-C

NPI #1154641595 in Aberdeen, South Dakota

Provider Information

NPI Number: 1154641595
Entity Type: Individual
Name: Charles L. Pelton JR., PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Jun 8, 2010
Last Updated: Jun 8, 2010

Practice Location

Address: 310 S PENN ST
Address 2: SUITE 202
City: Aberdeen
State: South Dakota
ZIP Code: 57401-4553
Phone: (605) 622-2573

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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