Individual
GREG FLAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
500 N KEENE ST STE 406, COLUMBIA, MO 65201-8104
(573) 884-3278
(573) 884-1351
Mailing address
PO BOX 843966, KANSAS CITY, MO 64184-3966
(573) 884-3300
(573) 884-0943
Taxonomy
Speciality
Code
Description
License number
State
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
R8297
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201509908
—
MO
01
—
2504017
UNITED HEALTHCARE
MO
01
—
277196
HEALTHLINK
MO
01
—
7416
BLUE SHIELD/BLUE CHOICE
MO
Enumeration date
05/12/2006
Last updated
10/02/2024
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