Individual
DR. RYAN CHARLES FLACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
615 S NEW BALLAS RD, SAINT LOUIS, MO 63141-8221
(314) 251-6816
Mailing address
625 S NEW BALLAS RD, SUITE B011, SAINT LOUIS, MO 63141-8253
(314) 251-6816
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
2004035456
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1326074667
—
MO
01
—
P00638179
RAILROAD MEDICARE
MO
Enumeration date
06/25/2006
Last updated
10/08/2014
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