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NPI Code Detail

MEDICARE: CHARLES B HOUGH MD

MEDICARE: CHARLES B HOUGH 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
1207Q00000XFamily Medicine PhysicianMD00019319WA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1811989163
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHARLES B HOUGH MD
Provider Business Mailing Address
First Line : PO BOX 3649
Second Line :
City : SPOKANE
State : WA
Zip : 99220-3649
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 19 N 7TH ST
Second Line :
City : CHENEY
State : WA
Zip : 99004-2220
Country : US
Telephone Number : 509-838-2531
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/22/2005
Last Update Date : 12/12/2008

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Directions to “ CHARLES B HOUGH MD” Practice Location

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