Individual
CHRIS FEIGHTNER BLANNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
300 WINDING WOODS DR, SUITE 222, O FALLON, MO 63366-4771
(636) 978-8600
Mailing address
300 WINDING WOODS DR, SUITE 222, O FALLON, MO 63366-4771
(636) 978-8600
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2011007279
MO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1841464625
—
MO
01
—
P01357810
RAILROAD MEDICARE
MO
Enumeration date
04/14/2008
Last updated
02/06/2015
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