Individual
DR. CHARLES SCOTT NORRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
54 HOSPITAL DR, SUITE 225, OSAGE BEACH, MO 65065-3050
(573) 302-2762
(573) 302-2268
Mailing address
PO BOX 1500, OSAGE BEACH, MO 65065-1500
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
2002028981
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
207459603
—
MO
01
—
P00271458
RAILROAD MEDICARE
MO
Enumeration date
11/16/2005
Last updated
07/23/2010
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