Individual
CHARLES S PEWITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2387 W JACKSON BLVD, JACKSON, MO 63755-3018
(573) 243-9288
(573) 204-7074
Mailing address
2387 W JACKSON BLVD, JACKSON, MO 63755-3018
(573) 243-9288
(573) 204-7074
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
R9F48
MO
Other
Enumeration date
09/22/2006
Last updated
07/08/2007
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