Individual
CHARLES L. CHAPMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
900 W NIFONG BLVD, STE 101, COLUMBIA, MO 65203-4467
(573) 815-6631
(573) 815-6634
Mailing address
670 MASON RIDGE CENTER DR, STE 300, SAINT LOUIS, MO 63141-8573
(573) 815-6631
(573) 815-6634
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
28429
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200582112
—
MO
Enumeration date
03/02/2006
Last updated
02/07/2017
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