Dr. Charles Hiram Andrus III, MD
Surgery in Saint Louis, MO. Individual provider (NPI-1).
NPI number1689611840
StatusActive
Last updated in NPPESFeb 5, 2021
Details
- NPI
- 1689611840
- Entity type
- Individual (NPI-1)
- Name
- Dr. Charles Hiram Andrus III
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 31, 2006
- Certification date
- Feb 5, 2021
- Last updated
- Feb 5, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208600000X | Surgery | R8A85 | MO | Yes |
| 2086S0127X | Surgery, Trauma Surgery | R8A85 | MO |
Practice location
1225 S Grand BlvdSaint Louis, MO 63104-1016
Phone 314-977-4440 · Fax 314-977-1877
Mailing address
1008 S Spring Ave Ste 1409Saint Louis, MO 63110-2520
Phone 314-977-4740 · Fax 314-268-5194
Other practice locations
1201 S Grand Blvd
Saint Louis, MO 63104-1016
Saint Louis, MO 63104-1016
Phone 314-257-8000 · Fax 314-977-1877
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