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Individual

CHARLES BO CHEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1020 HITT ST, COLUMBIA, MO 65212-0001
(573) 882-6921
(573) 884-1154
Mailing address
PO BOX 843966, KANSAS CITY, MO 64184-3966
(573) 884-3300
(573) 884-0943

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
2021025613
MO
2080P0206X
Pediatric Gastroenterology Physician
Primary
2021025613
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200097639
MO
Enumeration date
04/02/2015
Last updated
05/21/2024
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