Individual
MR. CHARLES JUSTIN HANGGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2862 CHAMPIONSHIP BLVD, SAINT LOUIS, MO 63129-5269
(314) 420-7375
Mailing address
3709 COURTOIS ST, SAINT LOUIS, MO 63123-7712
(314) 420-7375
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
Primary
B-60382
MO
Other
Enumeration date
04/25/2013
Last updated
04/25/2013
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