| Dr Charles C Mauldin Jr, MD | |
|
1308 N Glenstone Ave, Springfield, MO 65802-2130 | |
| (417) 864-4100 | |
| (417) 863-8697 |
| Full Name | Dr Charles C Mauldin Jr |
|---|---|
| Gender | Male |
| Speciality | Physical Medicine & Rehabilitation |
| Location | 1308 N Glenstone Ave, Springfield, Missouri |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194718270 | NPI | - | NPPES |
| 202697900 | Medicaid | MO | |
| 43151887165802A005 | Other | MO | TRIWEST |
| ACS#140740000 | Other | MO | US POSTAL SERVICE |
| 2079425 | Other | MO | FIRST HEALTH |
| 19288 | Other | MO | BLUE CROSS/BLUE SHIELD |
| 26D1025378 | Other | MO | CLIA |
| 9378408 | Other | MO | PHCS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208100000X | Physical Medicine & Rehabilitation | MDR6J28 (Missouri) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Charles C Mauldin Jr, MD 5015 S Glenhaven Ave, Springfield, MO 65804-7800 Ph: (417) 881-7808 | Dr Charles C Mauldin Jr, MD 1308 N Glenstone Ave, Springfield, MO 65802-2130 Ph: (417) 864-4100 |
Jessica Anne Hanson, M.D. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 3555 S National Ave, Springfield, MO 65807 Phone: 417-269-6868 | |
Dr. Julia E Griesemer, MD Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 1235 E Cherokee St, Springfield, MO 65804 Phone: 417-820-8364 Fax: 417-820-7136 | |
Logan Prescott, Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 3545 S National Ave, Springfield, MO 65807 Phone: 417-269-3282 | |
Dr. Jesse W Neeley, DO Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 5904 S Southwood Rd, Springfield, MO 65804 Phone: 877-749-7428 Fax: 512-628-3314 | |
Dr. Ronald J Pak, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 1235 E Cherokee St, Springfield, MO 65804 Phone: 417-820-2364 Fax: 417-820-7136 | |
Dr. Thomas B. Corsolini, MD Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 3520 S Culpepper Circle Ste. D, Springfield, MO 65804 Phone: 417-882-7500 Fax: 417-881-2840 |