Most Relevant Information
Provider Data
| NPI Number: | 1003368556 |
| Provider Name: | CHARIS DENOVI |
| Entity Type: | Individual |
| Taxonomy Code: | 367H00000X |
| Specialty: | Anesthesiologist Assistant |
| License Number: |
Most Important Dates
| Enumeration Date: | 11/01/2016 |
| Last Updated: | 11/28/2016 |
Provider Practice Location
3801 S NATIONAL AVE
SPRINGFIELD
MO
658075210
Practice Location Phone/Fax
| Phone: | 4172696000 |
| Fax: |
Provider Mailing Location
1000 E PRIMROSE ST
STE 520
SPRINGFIELD
MO
658075180
Provider Mailing Phone/Fax
| Phone: | 4172694550 |
| Fax: |