CHARLES H. TADLOCK, M.D. LTD

LAS VEGAS, NV
NPI1962720078
Entity TypeOrganization
Authorized ContactCHARLES H TADLOCK
Owner
702-474-0200
Organization Subpart ?Yes
Primary Taxonomy332900000X Non-Pharmacy Dispensing Site
Enumeration Date2010-05-13
Last Update Date2011-03-01
Business Address
CHARLES H. TADLOCK, M.D. LTD
6725 S EASTERN AVE STE 6
LAS VEGAS, NV 89119-3949
Phone number: 702-474-0200
Mailing Address
CHARLES H. TADLOCK, M.D. LTD
2980 N BEVERLY GLEN CIR SUITE 301
LOS ANGELES, CA 90077-1726
Phone number: 310-474-9809