Doctor Name: | DR. CHARLES A KOSYDAR |
NPI Number: | 1124221783 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 60208164 |
Business Practice Address: | 2916 Nw Bucklin Hill Rd #381 Silverdale, WA - 983838514 |
Business Phone Number: | 3608136021 |
Business Fax Number: | |
Mailing Address: | 2916 Nw Bucklin Hill Rd, #381 SILVERDALE |
State: | WA |
Postal Code: | 983838514 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 06/08/2007 |
NPI Last Update Date: | 08/18/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2085B0100X |
License Number: | 60208164 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Radiology |
Taxonomy Specialization: | Body Imaging |
Taxonomy Definition: | A Radiology doctor of Osteopathy that specializes in Body Imaging. |