MEDICARE: CHARLES R ARMSTRONG M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2085R0202X	Diagnostic Radiology Physician	R6B28	MO

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	P00007110	OTHER	MO	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1194890467
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHARLES R ARMSTRONG M.D.

Provider Business Mailing Address
First Line	:	3102 INDEPENDENCE SQ
Second Line	:	P.O. BOX 1100
City	:	WEST PLAINS
State	:	MO
Zip	:	65775-4235
Country	:	US
Telephone Number	:	417-257-7451
Fax Number	:	417-256-9277

Provider Business Practice Location Address
First Line	:	3102 INDEPENDENCE SQUARE
Second Line	:
City	:	WEST PLAINS
State	:	MO
Zip	:	65775-4235
Country	:	US
Telephone Number	:	417-257-7451
Fax Number	:	417-256-9277

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/22/2006
Last Update Date	:	11/10/2010

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Directions to “ CHARLES R ARMSTRONG M.D.” Practice Location

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