Individual
DR. CHARLES ALAN HURTH IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
9556 MANCHESTER RD, SAINT LOUIS, MO 63119-1313
(373) 574-0314
Mailing address
9556 MANCHESTER RD, SAINT LOUIS, MO 63119-1313
(314) 373-5740
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2023033231
MO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/30/2020
Last updated
08/18/2023
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