Charles Walter Southard
Charles Walter Southard is a Student in an Organized Health Care Education/Training Program in Riverhead, New York. Registered with an NPI since 2025.
- In the registry since
- 2025
Practice location Address checks out
400 W Main StRiverhead, NY 11901-2813
Phone: (631) 369-0104
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
|---|
Record details
| NPI number | 1346047388 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | February 27, 2025 |
| Last updated in NPPES | February 27, 2025 |
| Certification date | February 27, 2025 |
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