NPI 1962707075

Charles Mauldin, MD PC

Organisation Pain Medicine (Physical Medicine & Rehabilitation) Physician Springfield, MO

Practice location

Address: 3003 E Chestnut Expy STE 109, Springfield, MO 65802-2527
Phone: (417) 865-0011
Fax: (417) 865-0040
Mailing address: PO Box 14513, Springfield, MO 65814-0513

Authorised official

Name: Charles C Mauldin
Title: Owner
Phone: (417) 848-2161

Registered specialties

Pain Medicine (Physical Medicine & Rehabilitation) Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2081P2900X Licence R6J28 (MO)

Other Physical Medicine & Rehabilitation providers in Missouri →

Registry record

NPI: 1962707075
Entity type: Organization
NPI issued: 20 Jan 2011
Record last updated: 20 Jan 2011

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.