Individual
DR. CHARLES F. HARVEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
19550 E 39TH ST S STE 227, INDEPENDENCE, MO 64057-2358
(816) 301-7977
(855) 405-6571
Mailing address
19550 E 39TH ST S STE 227, INDEPENDENCE, MO 64057-2358
(816) 301-7977
(855) 405-6571
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
036114107
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
36114107
—
IL
01
—
4632039
BC GROUP NUMBER
IL
Enumeration date
09/16/2006
Last updated
02/23/2023
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