Individual
PAIGE CHARBONEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1101 W LIBERTY ST, FARMINGTON, MO 63640-1921
(573) 705-1272
(573) 705-1216
Mailing address
PO BOX 959354, SAINT LOUIS, MO 63195-9354
(573) 705-1272
(573) 705-1216
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
0101277127
VA
208M00000X
Hospitalist Physician
Primary
2024033376
MO
Other
Enumeration date
04/06/2020
Last updated
09/19/2025
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