CHARLES ORTWERTH

SAINT LOUIS, MO
NPI1659329613
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: MO  069381)
Enumeration Date2006-05-04
Last Update Date2008-12-08
Business Address
-- CHARLES ORTWERTH CRNA
3015 N BALLAS RD
SAINT LOUIS, MO 63131-2329
Phone number: 314-996-5330
Mailing Address
-- CHARLES ORTWERTH CRNA
1836 LACKLAND HILL PKWY ATTTN: CREDENTIALING
SAINT LOUIS, MO 63146-3572
Phone number: 314-989-0300
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