CHARLES JOHN SUPPLE MD NPI 1447510458

NPI Information

Charles John Supple, MD is a specialist in Palm Springs, CA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. Charles John Supple, MD NPI is 1447510458. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1349 TROFEO CIR
PALM SPRINGS, CA
ZIP 92262-369
Phone: (760) 898-1157
Fax: (760) 327-1990

The enumeration date for this NPI number is 5/23/2012 and was last updated on 5/23/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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