IndividualActive
Charles Mauldin, M.D.
NPI 1194718270 · Physical Medicine & Rehabilitation Physician · Springfield, MO
Provider details
- NPI number
- 1194718270
- Entity type
- Individual
- Primary specialty
- Physical Medicine & Rehabilitation PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- MDR6J28 (MO)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
1308 N Glenstone Ave
Springfield, MO 65802-2130
Phone: (417) 864-4100
Fax: (417) 863-8697
Approximate (ZIP-level) locationGet directions
Mailing address
5015 S Glenhaven Ave
Springfield, MO 65804-7800
Registry dates
- Enumerated
- 2005-08-24
- Last updated
- 2007-09-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.