MR. Charles Edward Self, PA-C

NPI #1497741995 in Minden, Louisiana

Provider Information

NPI Number
1497741995
Entity Type
Individual
Name
MR. Charles Edward Self, PA-C
Gender
Not Specified
Sole Proprietor
Not Answered
Primary Specialty
Physician Assistant - Medical
Credential
PA-C
Enumeration Date
Sep 21, 2005
Last Updated
Jul 9, 2007

Practice Location

Address
1111 HOMER RD
City
Minden
ZIP Code
71055-3027
Phone
(318) 377-7500

Specialties & Taxonomy Codes

Specialty
Physician Assistant - MedicalMedical

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