STACEY CHARLES

INDIANAPOLIS, IN
NPI1255940417
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy207Q00000X Family Medicine
(Licence: IN  01090538A)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2020-07-23
Last Update Date2025-09-15
Business Address
STACEY CHARLES MD
720 ESKENAZI AVE FL 2
INDIANAPOLIS, IN 46202-5189
Phone number: 317-880-7000
Mailing Address
STACEY CHARLES MD
PO BOX 637764
CINCINNATI, OH 45263-7764
Phone number: 317-880-3939