Charles S Pewitt, DO

NPI #1740389980 in Jackson, Missouri

Provider Information

NPI Number
1740389980
Entity Type
Individual
Name
Charles S Pewitt, DO
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Family Medicine
Credential
DO
Enumeration Date
Sep 22, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
2387 W JACKSON BLVD
ZIP Code
63755-3018
Phone
(573) 243-9288

Specialties & Taxonomy Codes

Specialty
Family Medicine

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