Provider Demographics
NPI:1912166018
Name:STEIN, CHARLES F IV (DO)
Entity Type:Individual
Prefix:DR
First Name:CHARLES
Middle Name:F
Last Name:STEIN
Suffix:IV
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:801 S RANCHO DR
Mailing Address - Street 2:SUITE F4
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89106-3854
Mailing Address - Country:US
Mailing Address - Phone:702-474-4454
Mailing Address - Fax:702-474-4424
Practice Address - Street 1:801 S RANCHO DR
Practice Address - Street 2:SUITE F4
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89106-3854
Practice Address - Country:US
Practice Address - Phone:702-474-4454
Practice Address - Fax:702-474-4424
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-03
Last Update Date:2008-06-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NV12422083X0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083X0100XAllopathic & Osteopathic PhysiciansPreventive MedicineOccupational Medicine