Whalio Doctors

NPI 1114116605

Charles J. McMullin

Organisation Specialist Osage Beach, MO

Practice location

Address
54 Hospital Dr Suite 205, Osage Beach, MO 65065-3050
Phone
(573) 302-2276
Mailing address
54 Hospital Dr STE 205, Osage Beach, MO 65065-3050

Authorised official

Name
Beth E. Carlile
Title
Billing Manager
Phone
(573) 364-2227

Registered specialties

Specialist Primary
Other Service Providers Taxonomy 174400000X Licence MD117270 (MO)

Registry record

NPI
1114116605
Entity type
Organization
NPI issued
19 Oct 2007
Record last updated
19 Oct 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.