Flanagan, Deidre A

Flanagan, Deidre A is an individual health care provider with primary practice located at 450 Williams Way , Moab UT 84532-2185. She recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as her primary health care specialty. Flanagan, Deidre A can be contacted via phone (435) 719-3500.

Contact Information

Primary practice address
450 Williams Way Moab UT 84532-2185
Phone: (435) 719-3500
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 40899 Wisconsin
Allopathic & Osteopathic Physicians / Surgery 208600000X 12793568-1205 Utah

Profile Details

NPI number 1013902592
LBN Legal business name Flanagan, Deidre A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 12th, 2005
Last updated Nov 28th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1013902592 NPPES
Wisconsin MEDICAID 32544100
Wisconsin MEDICAID 1013902592

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