Individual
MR. CHARLES A JOST III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2131 N RIDGE RD, WICHITA, KS 67212-1570
(316) 773-1212
(316) 440-6601
Mailing address
6020 E 17TH ST N, WICHITA, KS 67208-1708
(314) 898-7737
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
15-02743
KS
390200000X
Student in an Organized Health Care Education/Training Program
—
MO
Other
Enumeration date
01/06/2022
Last updated
04/10/2023
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