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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 |