Wellformed AI

NPI 1841291861 · live from the CMS NPI Registry

Charles W Maile, MD

Radiology, Diagnostic Radiology in Sandpoint, ID. National Provider Identifier 1841291861, active.

NPI record

NPI1841291861 Type 1 · individual
StatusActive
Primary specialtyRadiology, Diagnostic Radiology 2085R0202X
Practice location520 North Third, Sandpoint, ID 83864
Practice phone208-263-1441
Mailing addressPo Box 1448, Sandpoint, ID 83864
EnumeratedAugust 2, 2005
Last updatedFebruary 5, 2010
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Radiology, Diagnostic Ultrasound2085U0001X25618 (MN)
Radiology, Body Imaging2085B0100X25618 (MN)
Radiology, Diagnostic Radiology2085R0202X25618 (MN)
Radiology, Diagnostic Radiology primary2085R0202XM9573 (ID)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.