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Individual

DR. CHARLES S. HALBECK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
915 E. 5TH ST., ALTON, IL 62002-6471
(618) 463-5300
(618) 463-5195
Mailing address
915 E. 5TH ST., ALTON, IL 62002-6471
(618) 463-5300
(618) 463-5195

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
036.061328
IL
208D00000X
General Practice Physician
036061328
IL
208D00000X
General Practice Physician
R2F64
MO

Other

Enumeration date
08/23/2006
Last updated
10/23/2015
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