Individual
CHARLES V NYE JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
129 N 8TH ST, EAST SAINT LOUIS, IL 62201-2917
(618) 482-7158
Mailing address
388 N RIDGE RD, COLUMBIA, IL 62236-1960
(618) 558-3435
(618) 281-3435
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
IL
Other
Enumeration date
08/22/2006
Last updated
07/08/2007
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