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NPI Code Detail

MEDICARE: CHARLES W HAWS MD

MEDICARE:   CHARLES W HAWS  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RC0000XCardiovascular Disease Physician1712991205UT

General Provider Information

NPI Number : 1396739983
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHARLES W HAWS MD
Provider Business Mailing Address
First Line : 3725 W 4100 S
Second Line : SUITE 201
City : WEST VALLEY CITY
State : UT
Zip : 84120-5530
Country : US
Telephone Number : 801-676-3776
Fax Number : 801-676-0987
Provider Business Practice Location Address
First Line : 3725 W 4100 S
Second Line : SUITE 201
City : WEST VALLEY CITY
State : UT
Zip : 84120-5530
Country : US
Telephone Number : 801-676-3776
Fax Number : 801-676-0987
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/09/2005
Last Update Date : 10/30/2012

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