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Individual

DR. CHARLES STEPHEN GINN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
5203 S 45TH ST, ROGERS, AR 72758-8854
(479) 531-7416
(888) 371-5937
Mailing address
5203 S 45TH ST, ROGERS, AR 72758-8854
(479) 531-7416
(888) 371-5937

Taxonomy

Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
243
AR
390200000X
Student in an Organized Health Care Education/Training Program
2007022315
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
185785717
AR
Enumeration date
08/20/2007
Last updated
07/29/2022
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