Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208100000X | Physical Medicine & Rehabilitation Doctor | MD00016745 | WA |
N | 2081P2900X | Pain Medicine | MD00016745 | WA |
N | 2081S0010X | Sports Medicine | MD00016745 | WA |
N | 213ES0000X | Sports Medicine | MD00016745 | WA |
NPI | 1386791374 |
---|---|
Provider Name | Charles Stephen Settle |
First Address | Tacoma, WA 98405-4234 |
Second Address | Tacoma, WA 98405-4234 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/01/2007 |
Last Update Date | 21/05/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
A06367 | (02) | WA |