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Individual
CHARLES S FILLINGANE II
Active
Individual
CHARLES S FILLINGANE II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2016039415
MO
207Q00000X
Family Medicine Physician
P7438
TX
207Q00000X
Family Medicine Physician
R-8941
IA
Other
Enumeration date
06/22/2010
Last updated
05/28/2026
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