person
Charles L Puckett, MD
Plastic and Reconstructive Surgery Physician in Columbia, Missouri
NPI 1902851496

Charles L Puckett is a Plastic and Reconstructive Surgery Physician based in Columbia, MO and is specialized in Plastic and Reconstructive Surgery. Charles L Puckett practices in Columbia, MO and has the professional credentials of MD. The NPI Number for Charles L Puckett is 1902851496 and holds a License No. MDR6610 (Missouri).

The current practice location address for Charles L Puckett is One Hospital Drive, Columbia, MO and can be reached out via phone at 573-882-2275 and via fax at 573-884-4788. You can also correspond with Charles L Puckett through the mailing address at PO BOX 7687, COLUMBIA, MO - 65205-7687 (mailing address contact number: 573-882-2259).

Location: One Hospital Drive, Columbia, MO, 65205-7687
person
Provider Profile Details
NPI Number
1902851496
Provider Name
Charles L Puckett
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
One Hospital Drive, Columbia, MO, 65205-7687
Phone Number
573-882-2275
Fax Number
573-884-4788
Provider Enumeration Date
05/23/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
240004071 01 MO RR MEDICARE
200469708 05 MO
institution
Provider Business Practice Location Address Details
Address
One Hospital Drive
City
State
Zip
65212-0001
Phone Number
573-882-2275
Fax Number
573-884-4788
person
Provider Business Mailing Address Details
Address
One Hospital Drive
City
State
Zip
65212-0001
Phone Number
573-882-2275
Fax Number
573-884-4788
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
Plastic and Reconstructive Surgery
Taxonomy
License No.
MDR6610 (Missouri)
Definition
A surgeon who specializes in plastic and reconstructive surgery.
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