Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CHARLES ROLAND STRUB, MD
Active Sole ProprietorCHARLES ROLAND STRUB, MD is a Vascular Surgery healthcare provider located in MONROE, Washington. NPI 1497816078 is currently active in the NPPES registry. Verify at CMS.
Vascular Surgery · MONROE, WA
Registration Details
- NPI Number
- 1497816078
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 13, 2006 (19.70879584444 yrs)
- Last Updated
- Jul 8, 2007
- License
-
9619 (WA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
14841 179TH AVE SESTE220MONROE, WA, 982721127Browse WA providers · Browse ZIP 98272
- Phone
- 3608631508
- Fax
- 3608059781
- Primary Specialty
-
Vascular Surgery
2086S0129X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.