| F & G Group, Inc. | |
|
16349 Valley Oaks Estates Ct Chesterfield MO 63005-7039 | |
| (314) 604-9959 | |
| Not Available |
| Full Name | F & G Group, Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 16349 Valley Oaks Estates Ct, Chesterfield, Missouri |
| Authorized Official Name and Position | Baolin Fan (OWNER) |
| Authorized Official Contact | 3146049959 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| F & G Group, Inc. 16349 Valley Oaks Estates Ct Chesterfield MO 63005-7039 Ph: () - | F & G Group, Inc. 16349 Valley Oaks Estates Ct Chesterfield MO 63005-7039 Ph: (314) 604-9959 |
| NPI Number | 1164628186 |
|---|---|
| Provider Enumeration Date | 06/26/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 4688769904 |
|---|---|
| Medicare Enrollment ID | O20071002000453 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164628186 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 110986 (Missouri) | Primary |
| Provider Name | Baolin Fan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568568897 PECOS PAC ID: 7113972837 Enrollment ID: I20050316000028 |
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