Individual
JOSEPH H FLAHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3660 VISTA, ST LOUIS, MO 63110
(314) 977-8462
(314) 771-8575
Mailing address
3691 RUTGER AVE, PROVIDER ENROLLMENT, ST LOUIS, MO 63110
(314) 977-4440
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
R4546
TX
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
103448
MO
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
R4546
TX
Other
Enumeration date
08/04/2006
Last updated
01/27/2026
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