DR. Charles A. Wardle, OD

NPI #1649277245 in Longview, Washington

Provider Information

NPI Number: 1649277245
Entity Type: Individual
Name: DR. Charles A. Wardle, OD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: OD
Enumeration Date: Jun 29, 2005
Last Updated: Aug 6, 2010

Practice Location

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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