Individual
ELIZABETH M FLACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
3015 N. BALLAS RD, ST. LOUIS, MS 63131
(314) 996-5330
(314) 810-1399
Mailing address
3015 N. BALLAS RD, ST. LOUIS, MS 63131
(314) 996-5330
(314) 810-1399
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
074785
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
911618403
—
MO
01
—
P00391453
RAILROAD MEDICARE
MO
Enumeration date
10/04/2006
Last updated
01/13/2009
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