Dr CHARLES LEONARD PELTON JR. is a male medical professional, specializing in Physician Assistant. He graduated in 2010 from University Of North Dakota School Of Medicine.
AVERA ST LUKES
305 S STATE ST
ABERDEEN
SD
574014527
Tel:
| Npi | 1154641595 |
| Pac Id | 4082746359 |
| Professional Enrollment Id | I20100722000138 |
| Last Name | PELTON |
| First Name | CHARLES |
| Middle Name | LEONARD |
| Suffix | JR. |
| Gender | M |
| Credential | |
| Medical School Name | UNIVERSITY OF NORTH DAKOTA SCHOOL OF MEDICINE |
| Graduation Year | 2010 |
| Primary Specialty | PHYSICIAN ASSISTANT |
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| Organization Legal Name | AVERA ST LUKES |
| Group Practice Pac Id | 6406764927 |
| Number Of Group Practice Members | 124 |
| Line 1 Street Address | 305 S STATE ST |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | ABERDEEN |
| State | SD |
| Zip Code | 574014527 |
| Phone Number | |
| Hospital Affiliation Ccn 1 | 430014 |
| Hospital Affiliation Lbn 1 | AVERA ST LUKES |
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| Professional Accepts Medicare Assignment | Y |
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