Charles W Maile, MD
Radiology, Diagnostic Radiology in Sandpoint, ID. Individual provider (NPI-1).
NPI number1841291861
StatusActive
Last updated in NPPESFeb 5, 2010
Details
- NPI
- 1841291861
- Entity type
- Individual (NPI-1)
- Name
- Charles W Maile
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 2, 2005
- Last updated
- Feb 5, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2085R0202X | Radiology, Diagnostic Radiology | M9573 | ID | Yes |
| 2085U0001X | Radiology, Diagnostic Ultrasound | 25618 | MN | |
| 2085B0100X | Radiology, Body Imaging | 25618 | MN | |
| 2085R0202X | Radiology, Diagnostic Radiology | 25618 | MN |
Practice location
520 North ThirdSandpoint, ID 83864-1507
Phone 208-263-1441 · Fax 208-265-1278
Mailing address
Po Box 1448Sandpoint, ID 83864-0877
Phone 208-263-1441 · Fax 208-265-1278
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