Individual
CHARLES M. FLINKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2301 INDIAN WELLS RD, ALAMOGORDO, NM 88310-4611
(573) 686-5550
Mailing address
209 S MAIN ST, POPLAR BLUFF, MO 63901-5831
(573) 686-5550
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
R0076448
OK
367500000X
Certified Registered Nurse Anesthetist
Primary
R12697
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00093989
—
NM
05
—
200004090A
—
OK
Enumeration date
07/20/2005
Last updated
05/08/2017
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