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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

CHARLES J. MCMULLIN

Active Organization

CHARLES J. MCMULLIN is a Specialist organization located in OSAGE BEACH, Missouri. NPI 1114116605 is currently active in the NPPES registry. Verify at CMS.

Specialist · OSAGE BEACH, MO

Registration Details

NPI Number
1114116605
Provider Type
Organization
NPI Issued
Oct 19, 2007 (18.843544339091 yrs)
Last Updated
Oct 19, 2007
License
MD117270 (MO)

Practice Information

Address
54 HOSPITAL DR
SUITE 205
OSAGE BEACH, MO, 650653050
Browse MO providers · Browse ZIP 65065
Phone
5733022276
Primary Specialty
Specialist
174400000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.