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.
IDAHO PHYSICIAN SERVICES INC
2860 CHANNING WAY
116 EAST FALLS ORTHOPEDICS
IDAHO FALLS
ID
834047532
Tel: 2085354567
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 |
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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 |
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Professional Accepts Medicare Assignment | Y |
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