CHARLES L PUCKETT

COLUMBIA, MO
NPI1902851496
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2086S0122X Surgery, Plastic and Reconstructive Surgery
(Licence: MO  MDR6610)
Enumeration Date2006-05-23
Last Update Date2012-04-25
Business Address
-- CHARLES L PUCKETT MD
ONE HOSPITAL DRIVE
COLUMBIA, MO 65212-0001
Phone number: 573-882-2275
Mailing Address
-- CHARLES L PUCKETT MD
PO BOX 7687
COLUMBIA, MO 65205-7687
Phone number: 573-882-2259
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