Organization Name: | GEORGE D FLANAGAN MD INC |
NPI Number: | 1578736500 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | GEORGE FLANAGAN (MD) |
Mailing Address: | 2715 Union Blvd # 6 Saint Louis |
State: | MO US |
Postal Code: | 631132001 |
Phone Number: | 3143825500 |
Fax Number: | |
NPI Enumeration Date: | 04/10/2008 |
NPI Last Update Date: | 04/10/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 28345 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MO |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |