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Dr. Charles Robert Nathan, MD
Plastic and Reconstructive Surgery Physician in Saint Louis, Missouri
NPI 1477723799

Charles Robert Nathan is a Plastic and Reconstructive Surgery Physician based in Chesterfield, MO and is specialized in Plastic and Reconstructive Surgery. Charles Robert Nathan practices in Saint Louis, MO and has the professional credentials of MD. The NPI Number for Charles Robert Nathan is 1477723799 and holds a License No. MD110027 (Missouri).

The current practice location address for Charles Robert Nathan is 845 N New Ballas Ct, Saint Louis, MO and can be reached out via phone at 314-569-0130 and via fax at 314-569-3674.

Location: 845 N New Ballas Ct, Saint Louis, MO, 63005
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Provider Profile Details
NPI Number
1477723799
Provider Name
Charles Robert Nathan
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
845 N New Ballas Ct, Saint Louis, MO, 63005
Phone Number
314-569-0130
Fax Number
314-569-3674
Provider Enumeration Date
03/03/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
240007092 01 MO RR MEDICARE
institution
Provider Business Practice Location Address Details
Address
845 N New Ballas Ct
City
State
Zip
63141-7134
Phone Number
314-569-0130
Fax Number
314-569-3674
person
Provider Business Mailing Address Details
Address
845 N New Ballas Ct
City
State
Zip
63141-7134
Phone Number
314-569-0130
Fax Number
314-569-3674
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
Plastic and Reconstructive Surgery
Taxonomy
License No.
MD110027 (Missouri)
Definition
A surgeon who specializes in plastic and reconstructive surgery.
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