MEDICARE: CHARLES BEST M.D.

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
1	208800000X	Urology Physician	G79661	CA
2	208800000X	Urology Physician	60658799	WA

General Provider Information

NPI Number	:	1962423418
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHARLES BEST M.D.

Provider Business Mailing Address
First Line	:	PO BOX 1787
Second Line	:
City	:	ABERDEEN
State	:	WA
Zip	:	98520-0292
Country	:	US
Telephone Number	:	360-537-6179
Fax Number	:	360-537-6192

Provider Business Practice Location Address
First Line	:	1006 N H ST
Second Line	:
City	:	ABERDEEN
State	:	WA
Zip	:	98520-2521
Country	:	US
Telephone Number	:	360-537-6179
Fax Number	:	360-537-6192

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/21/2006
Last Update Date	:	08/10/2016

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Directions to “ CHARLES BEST M.D.” Practice Location

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