Individual
DR. CHARLES HIRAM ANDRUS III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1225 S GRAND BLVD, SAINT LOUIS, MO 63104-1016
(314) 977-4440
(314) 977-1877
Mailing address
1008 S SPRING AVE STE 1409, SAINT LOUIS, MO 63110-2520
(314) 977-4740
(314) 268-5194
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
R8A85
MO
2086S0127X
Trauma Surgery Physician
R8A85
MO
Other
Enumeration date
05/31/2006
Last updated
02/05/2021
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