Individual
DR. CHARLES UPSHUR NOTTINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
901 PATIENTS FIRST DR STE 3400, WASHINGTON, MO 63090-4700
(636) 239-5155
Mailing address
901 PATIENTS FIRST DR STE 3400, WASHINGTON, MO 63090-4700
(636) 239-5155
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
2020017663
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200084519
—
MO
Enumeration date
06/27/2012
Last updated
08/28/2024
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