Provider Demographics
NPI:1811167679
Name:CLARY, CHARLES WILLIAM (DO)
Entity type:Individual
Prefix:DR
First Name:CHARLES
Middle Name:WILLIAM
Last Name:CLARY
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:1561 THIRD ST STE G
Mailing Address - Street 2:
Mailing Address - City:NAPA
Mailing Address - State:CA
Mailing Address - Zip Code:94559-2861
Mailing Address - Country:US
Mailing Address - Phone:707-259-2000
Mailing Address - Fax:707-259-0181
Practice Address - Street 1:3434 VILLA LN STE 380
Practice Address - Street 2:
Practice Address - City:NAPA
Practice Address - State:CA
Practice Address - Zip Code:94558-6416
Practice Address - Country:US
Practice Address - Phone:707-254-8844
Practice Address - Fax:707-254-2055
Is Sole Proprietor?:No
Enumeration Date:2008-03-08
Last Update Date:2021-12-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA20A10261207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine