CHARLES S FILLINGANE

MARYVILLE, MO
NPI1275854465
Other NameCHIP FILLINGANE
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207Q00000X Family Medicine
(Licence: MO  2016039415)
Additional Taxonomies207Q00000X Family Medicine
(Licence: IA  R-8941)
207Q00000X Family Medicine
(Licence: TX  P7438)
Enumeration Date2010-06-22
Last Update Date2021-05-07
Business Address
CHARLES S FILLINGANE DO
2336 S MAIN ST LOWR LEVEL
MARYVILLE, MO 64468-3622
Phone number: 660-220-2123
Mailing Address
CHARLES S FILLINGANE DO
2336 S MAIN ST LOWR LEVEL
MARYVILLE, MO 64468-3622
Phone number: 660-220-2123