Individual
MR. CHARLES MOHR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4253 N CROSSOVER RD, FAYETTEVILLE, AR 72703-4593
(479) 464-5925
(479) 464-4275
Mailing address
4253 N CROSSOVER RD, FAYETTEVILLE, AR 72703-4593
(479) 464-5925
(479) 464-4275
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/17/2015
Last updated
08/17/2015
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