Individual
CHARLES CHURCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
HIS
Contact information
Practice address
1350 E SUNSHINE ST, SPRINGFIELD, MO 65804-1160
(417) 823-0484
(417) 823-0484
Mailing address
1350 E SUNSHINE ST, SPRINGFIELD, MO 65804-1160
(417) 823-0484
(417) 823-0484
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
2009018220
MO
Other
Enumeration date
11/12/2012
Last updated
11/12/2012
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