Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CHARLES J. MCMULLIN JR., M.D.
Active Sole ProprietorCHARLES J. MCMULLIN JR., M.D. is a Specialist healthcare provider located in LINN CREEK, Missouri. NPI 1215049788 is currently active in the NPPES registry. Verify at CMS.
Specialist · LINN CREEK, MO
Registration Details
- NPI Number
- 1215049788
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 31, 2006 (19.772891534638 yrs)
- Last Updated
- Jun 21, 2011
- License
-
MD117270 (MO)
- Sole Proprietor
- Yes
Practice Information
- Address
-
300 FOXHEAD SHORES DRLINN CREEK, MO, 650522563Browse MO providers · Browse ZIP 65052
- Phone
- 5734804721
- Primary Specialty
-
Specialist
174400000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.