CHARLES S NEEDHAM MD

IDAHO PHYSICIAN SERVICES INC

Dr CHARLES S NEEDHAM MD is a male medical professional, specializing in Thoracic Surgery. He graduated in 1991 from University Of Health Sciences/chicago Medical School.

Contact

IDAHO PHYSICIAN SERVICES INC

2860 CHANNING WAY
116 EAST FALLS ORTHOPEDICS
IDAHO FALLS
ID
834047532

Tel: 2085354567

CHARLES S NEEDHAM MD Information

Npi 1063435899
Pac Id 5597796383
Professional Enrollment Id I20150119000062
Last Name NEEDHAM
First Name CHARLES
Middle Name S
Suffix
Gender M
Credential MD
Medical School Name UNIVERSITY OF HEALTH SCIENCES/CHICAGO MEDICAL SCHOOL
Graduation Year 1991
Primary Specialty THORACIC SURGERY
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name IDAHO PHYSICIAN SERVICES INC
Group Practice Pac Id 2163430943
Number Of Group Practice Members 9
Line 1 Street Address 2860 CHANNING WAY
Line 2 Street Address 116 EAST FALLS ORTHOPEDICS
Marker Of Address Line 2 Suppression
City IDAHO FALLS
State ID
Zip Code 834047532
Phone Number 2085354567
Hospital Affiliation Ccn 1 130018
Hospital Affiliation Lbn 1 EASTERN IDAHO REGIONAL MEDICAL CENTER
Hospital Affiliation Ccn 2 130025
Hospital Affiliation Lbn 2 MADISON MEMORIAL HOSPITAL
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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