Doctor Name: | CHARLES PFEIFFER |
NPI Number: | 1033477534 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | N. P. |
License Number: | 0024170007 |
Business Practice Address: | 3600 Woods Way Powhatan, VA - 23160 |
Business Phone Number: | 8045984251 |
Business Fax Number: | |
Mailing Address: | 3600 Woods Way, POWHATAN |
State: | VA |
Postal Code: | 23160 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 05/03/2012 |
NPI Last Update Date: | 05/03/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 0024170007 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |