Organization · Type 2 NPI

Charles J. McMullin

Specialist · Osage Beach, MO

NPI number 1114116605 Active

Practice location

54 Hospital Dr, Suite 205
Osage Beach, MO 65065-3050

Call (573) 302-2276 Map

Mailing address

54 Hospital Dr Ste 205
Osage Beach, MO 65065-3050

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XMD117270 (MO)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1114116605

Charles J. McMullin's National Provider Identifier is 1114116605, issued on Oct 19, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Osage Beach, MO. The record was last updated on Oct 19, 2007.