Doctor Name: | DR. GEORGE D FLANIGAN |
NPI Number: | 1215922729 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 28345 |
Business Practice Address: | 2715 Union Blvd Ste 107 Saint Louis, MO - 631131022 |
Business Phone Number: | 3143825500 |
Business Fax Number: | 3143826344 |
Mailing Address: | 2715 Union Blvd, Ste 107 SAINT LOUIS |
State: | MO |
Postal Code: | 631131022 |
Phone Number: | 3143825500 |
Fax Number: | 3143826344 |
NPI Enumeration Date: | 09/12/2005 |
NPI Last Update Date: | 03/07/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | 03/22/2006 |
NPI Reactivation Date: | 04/03/2006 |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 28345 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MO |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |