Charles P House Sr Do

NPI #1497724140 in Clyde, Ohio

Provider Information

NPI Number: 1497724140
Entity Type: Organization
Organization Name: Charles P House Sr Do
Primary Specialty: Family Medicine
Enumeration Date: Mar 15, 2006
Last Updated: Feb 23, 2015

Practice Location

Address: 700 W MAPLE ST
City: Clyde
State: Ohio
ZIP Code: 43410-1414
Phone: (419) 547-0584

Authorized Official

Name: DR. CHARLES P HOUSE SR., DO
Title: PRESIDENT
Phone: (419) 547-0584

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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