Individual
CHARLES F SCHWAB
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
9501 N OAK TRFY, #100, KANSAS CITY, MO 64155-2256
(816) 455-0661
(816) 455-3905
Mailing address
9501 N OAK TRFY, #100, KANSAS CITY, MO 64155-2256
(816) 455-0661
(816) 455-3905
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
14363
KS
2085R0202X
Diagnostic Radiology Physician
Primary
31858
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
025474
BCBS OF KANSAS
KS
01
—
05559070
BCBS OF KANSAS CITY
MO
01
—
2262035
AETNA
MO
Enumeration date
01/17/2006
Last updated
07/08/2007
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