Individual
CHARLES BIRMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5800 GOLDEN POND, VILLA RIDGE, MO 63089-2156
(314) 560-3166
Mailing address
5800 GOLDEN POND, VILLA RIDGE, MO 63089-2156
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
2010033520
MO
Other
Enumeration date
12/19/2011
Last updated
12/19/2011
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