Individual
CHARLES S FILLINGANE II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2336 S MAIN ST LOWR LEVEL, MARYVILLE, MO 64468-3622
(660) 220-2123
(660) 562-7911
Mailing address
2336 S MAIN ST LOWR LEVEL, MARYVILLE, MO 64468-3622
(660) 220-2123
(660) 562-7911
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
02/19/2025
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