Individual
DR. CHARBEL I MAKSOUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3333 MCINTOSH CIR, STE 3, JOPLIN, MO 64804-3649
(417) 347-8636
Mailing address
PO BOX 3810, JOPLIN, MO 64803-3810
(417) 347-8636
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
2011009249
MO
Other
Enumeration date
05/24/2007
Last updated
04/30/2014
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