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Dr. George D Flanigan
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NPI Number Detailed Information
Provider Information:
| Name: | Dr. George D Flanigan |
| Gender: | M |
| Provider License Number If Given: | 28345 |
NPI Information:
| NPI: | 1215922729 |
| Entity Type (Individual or Organization): |
1-ind |
| Enumeration Date: | 9/12/2005 |
| Last Update Date: | 3/7/2008 |
Provider Business Mailing Address:
| Address: | 2715 UNION BLVD STE 107 Saint Louis, MO 63113 |
| Phone Number: | 3143825500 |
| Fax Number: | 3143826344 |
Provider Business Practice Location Address:
| Address: | 2715 UNION BLVD STE 107 Saint Louis, MO 63113 |
| Phone Number: | 3143825500 |
| Fax Number: | 3143826344 |
Provider Taxonomy:
| Primary: | 174400000X |
| Secondary (if any): | |
| State: | MO |
