NPI 1194718270

Charles C Mauldin, MD

Practitioner Physical Medicine & Rehabilitation Physician Springfield, MO

Practice location

Address: 1308 N Glenstone Ave, Springfield, MO 65802-2130
Phone: (417) 864-4100
Fax: (417) 863-8697
Mailing address: 5015 S Glenhaven Ave, Springfield, MO 65804-7800

Registered specialties

Physical Medicine & Rehabilitation Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208100000X Licence MDR6J28 (MO)

Other Physical Medicine & Rehabilitation providers in Missouri →

Registry record

NPI: 1194718270
Entity type: Individual
Sex (as registered): Male
NPI issued: 24 Aug 2005
Record last updated: 27 Sep 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.