NPI 1104260652

Charles Justin Hangge

Practitioner Basic Emergency Medical Technician Saint Louis, MO

Practice location

Address: 2862 Championship Blvd, Saint Louis, MO 63129-5269
Phone: (314) 420-7375
Mailing address: 3709 Courtois St, Saint Louis, MO 63123-7712

Registered specialties

Basic Emergency Medical Technician Primary

Emergency Medical Service Providers Taxonomy 146N00000X Licence B-60382 (MO)

Other Emergency Medical Technician, Basic providers in Missouri →

Registry record

NPI: 1104260652
Entity type: Individual
Sex (as registered): Male
NPI issued: 25 Apr 2013
Record last updated: 25 Apr 2013

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.