Charles J. Mcmullin
NPI #1114116605 in Osage Beach, Missouri
Provider Information
- NPI Number
- 1114116605
- Entity Type
- Organization
- Organization Name
- Charles J. Mcmullin
- Primary Specialty
- Specialist
- Enumeration Date
- Oct 19, 2007
- Last Updated
- Oct 19, 2007
Practice Location
- Address
- 54 HOSPITAL DR
- Address 2
- SUITE 205
- City
- Osage Beach
- State
- Missouri
- ZIP Code
- 65065-3050
- Phone
- (573) 302-2276
Authorized Official
- Name
- MISS BETH E. CARLILE
- Title
- BILLING MANAGER
- Phone
- (573) 364-2227
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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