CHARLES H. TADLOCK, M.D. LTD.
Nursing at Miami Ave, Kingman, AZ

License number
Arizona 26067
Category
Osteopathic Medicine
Type
Pain Medicine
License number
Arizona 4873
Category
Nursing
Type
Medical
License number
Arizona AP4247
Category
Nursing
Type
Family
Owner
Name: MRS. TAMMY R SHAFFER
Title: ADMINISTRATOR
Phone: (702) 474-0200
Address
Address 2
1912 Miami Ave, Kingman, AZ 86401
6725 S Eastern Ave SUITE 6, Las Vegas, NV 89119
National Provider ID: 1548422876
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about CHARLES H. TADLOCK, M.D. LTD. at bizstanding.com

CHARLES H. TADLOCK, M.D. CORPORATION

Las Vegas, NV  -  Kingman, AZ

Status:
Inactive
Doing business as:
CHARLES H. TADLOCK, M.D., LTD<br>Charles H. Tadlock, M.D.,Ltd<br>Center for Pain Management<br>Charles H. Tadlock, MD LTD
Inactive reason:
Revoked-file annual report
Registration:
Jun 15, 2005
Inactive since:
Jan 27, 2015
Site:
centerforpainmanagement.us
Phone:
(702) 946-5320 (Phone), (702) 946-5328 (Fax), (702) 474-0200 (Phone), (877) 259-7246 (Free)
Addresses:
6725 S Eastern Ave #6, Las Vegas, NV 89119 (Physical)
1912 Miami Ave, Kingman, AZ 86401 (Physical)
State ID:
5942626-0111
Business type:
Business Name Reservation
Expiration:
Perpetual
Administrators:
Charles H Tadlock (President, Director, Secretary, Treasurer), 6725 S Eastern Ave #6, Las Vegas, NV 89119 (Physical),Tammy Shaffer (Administrator)
Agent:
Charles Henry Tadlock,1490 E Foremaster Dr STE 260, Saint George, UT 84790 (Physical)
Categories:
Physicians - Specialists, Clinics - Pain Management, Anesthesiology Physicians, ...
Products:
Anesthesiologist, Anesthesiology And, Anesthesiology and Pain Management, ...

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