Individual provider · NPI-1

Charles H Chesnut III, MD

Nuclear Medicine · Seattle, WA

NPI number1609952456
StatusActive
Last updated in NPPESMay 30, 2008

Details

NPI
1609952456
Entity type
Individual (NPI-1)
Name
Charles H Chesnut III
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Oct 27, 2006
Last updated
May 30, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207U00000X Nuclear MedicineMD00011188WAYes

Practice location

Uwmc-Roosevelt
4245 Roosevelt Way Ne
Seattle, WA 98105-4740

Phone 206-598-4288

Mailing address

Po Box 50095
Seattle, WA 98145-5095

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