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Charles J. Mcmullin JR., MD
Specialist in Linn Creek, Missouri
NPI 1215049788

Charles J. Mcmullin JR. is a Specialist based in Linn Creek, MO. Charles J. Mcmullin JR. practices in Linn Creek, MO and has the professional credentials of MD. The NPI Number for Charles J. Mcmullin JR. is 1215049788 and holds a License No. MD117270 (Missouri).

The current practice location address for Charles J. Mcmullin JR. is 300 Foxhead Shores Dr, Linn Creek, MO and can be reached out via phone at 573-480-4721.

Location: 300 Foxhead Shores Dr, Linn Creek, MO, 65052-2563
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1215049788
Provider Name
Charles J. Mcmullin JR.
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
300 Foxhead Shores Dr, Linn Creek, MO, 65052-2563
Phone Number
573-480-4721
Fax Number
Provider Enumeration Date
08/31/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
205428204 05 MO
institution
Provider Business Practice Location Address Details
Address
300 Foxhead Shores Dr
City
Linn Creek
State
Missouri
Zip
65052-2563
Phone Number
573-480-4721
Fax Number
person
Provider Business Mailing Address Details
Address
300 Foxhead Shores Dr
City
Linn Creek
State
Missouri
Zip
65052-2563
Phone Number
573-480-4721
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
MD117270 (Missouri)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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