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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

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