Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | MD435916 | PA |
Y | 208600000X | Surgeon | MD435916 | PA |
N | 2086S0129X | Vascular Surgeon | MA028391 | NJ |
NPI | 1073654919 |
---|---|
Provider Name | Dr. Charles Robert Argila |
First Address | Sayre, PA 18840-1625 |
Second Address | Sayre, PA 18840-1625 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/02/2007 |
Last Update Date | 30/05/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
C52767 | (02) | NJ |