Provider Demographics
NPI:1699031971
Name:STILES, CHARLES MERRILL (MD)
Entity Type:Individual
Prefix:DR
First Name:CHARLES
Middle Name:MERRILL
Last Name:STILES
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13810 METCALF AVE
Mailing Address - Street 2:SUITE 12219
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66223
Mailing Address - Country:US
Mailing Address - Phone:913-766-0808
Mailing Address - Fax:
Practice Address - Street 1:13810 METCALF AVE
Practice Address - Street 2:SUITE 12219
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66223-7810
Practice Address - Country:US
Practice Address - Phone:913-766-0808
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-04-11
Last Update Date:2012-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS04-13311207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine