Individual
DR. CHARLES MUNCRIEF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
90 VILLAGE POINTE DR, POWELL, OH 43065-7760
(614) 791-1300
Mailing address
4817 AVONDALE RIDGE DR, DUBLIN, OH 43017-8623
(614) 789-9345
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
34 007385
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
300126993
RAILROAD MEDICARE - MOR
OH
01
—
P00292383
RAILROAD MEDICARE UCI
OH
Enumeration date
09/15/2006
Last updated
04/10/2008
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