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Individual

CHARLES R WHETSTONE

Active
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Individual

CHARLES R WHETSTONE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
R8693
MO
207Q00000X
Family Medicine Physician
Primary
R8693
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010568509
—
MO
01
—
08585145
BCBS MO
MO
01
—
08585205
BCBS MO
—
01
—
08585215
BCBS MO
—
01
—
08585225
BCBS MO
—
01
—
08585235
BCBS MO
—
01
—
08585245
BCBS MO
—
01
—
1612730
UHC
—
05
—
240888040
—
MO
05
—
540568508
—
MO
05
—
595956103
—
MO
05
—
595956202
—
MO
05
—
595956400
—
MO
05
—
595985805
—
MO
05
—
599225901
—
MO
Enumeration date
08/17/2005
Last updated
12/22/2010
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