Healthcare Provider Details

I. General information

NPI: 1497494678
Provider Name (Legal Business Name): MICHAEL FLYNN P.A.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/03/2022
Last Update Date: 08/31/2026
Certification Date: 08/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7242 E OSBORN RD STE 420
SCOTTSDALE AZ
85251-6494
US

IV. Provider business mailing address

2910 N 3RD AVE # 200
PHOENIX AZ
85013-4434
US

V. Phone/Fax

Practice location:
  • Phone: 480-425-8004
  • Fax: 833-973-5425
Mailing address:
  • Phone: 602-406-3181
  • Fax: 833-428-9268

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363AS0400X
TaxonomySurgical Physician Assistant
License Number9342
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: