Organization
F & G GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BAOLIN FAN M.D. (OWNER)
(314) 604-9959
Entity
Organization
Contact information
Practice address
16349 VALLEY OAKS ESTATES CT, CHESTERFIELD, MO 63005-7039
(314) 604-9959
Mailing address
16349 VALLEY OAKS ESTATES CT, CHESTERFIELD, MO 63005-7039
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
110986
MO
Other
Enumeration date
06/26/2007
Last updated
08/22/2020
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