Basic Information
Provider Information
NPI: 1821652561
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ARNO
FirstName: CHARLES
MiddleName: DOUGLAS
NamePrefix: DR.
NameSuffix: III
Credential: DO
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: VCUHS GMEA
Address2: BOX 980257
City: RICHMOND
State: VA
PostalCode: 23298
CountryCode: US
TelephoneNumber: 8048289783
FaxNumber:  
Practice Location
Address1: VCUHS DEPARTMENT OF ANESTHESIA RESIDENCY, 980695
Address2: 1250 E MARSHALL STREET
City: RICHMOND
State: VA
PostalCode: 23298
CountryCode: US
TelephoneNumber: 8048280733
FaxNumber:  
Other Information
ProviderEnumerationDate: 04/29/2019
LastUpdateDate: 04/29/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
390200000X VAY Student, Health CareStudent in an Organized Health Care Education/Training Program 

No ID Information.


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