Individual
DR. MARVIN B CHARLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
510 FOSTER LANE, SUITE 201, WARRENSBURG, MO 64093-3101
(660) 747-5558
(660) 429-4169
Mailing address
P.O. BOX 1074, WARRENSBURG, MO 64093-3101
(660) 747-5558
(660) 429-4169
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
2006033941
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1548208366
—
MO
01
—
227883
HEALTHCARE USA
MO
Enumeration date
06/03/2006
Last updated
07/29/2013
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