DAVID R. CHARLES

PEORIA, IL
NPI1841499902
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology
(Licence: IL  036128090)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
(Licence: NJ  25MB08007300)
207RC0000X Internal Medicine, Cardiovascular Disease
(Licence: IL  036128090)
Enumeration Date2007-07-17
Last Update Date2015-01-21
Business Address
Dr. DAVID R. CHARLES D.O.
5405 N KNOXVILLE AVE
PEORIA, IL 61614-5016
Phone number: 309-691-4410
Mailing Address
Dr. DAVID R. CHARLES D.O.
5405 N KNOXVILLE AVE
PEORIA, IL 61614-5016
Phone number: 309-691-4410