Healthcare Provider Details

I. General information

NPI: 1336145887
Provider Name (Legal Business Name): JAMES MURRAY FLYNN DPM
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/21/2005
Last Update Date: 08/30/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5100 N BROOKLINE AVE STE 375
OKLAHOMA CITY OK
73112-3628
US

IV. Provider business mailing address

5100 N BROOKLINE AVE STE 375
OKLAHOMA CITY OK
73112-3628
US

V. Phone/Fax

Practice location:
  • Phone: 405-943-1881
  • Fax: 405-943-7916
Mailing address:
  • Phone: 405-943-1881
  • Fax: 405-943-7916

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213E00000X
TaxonomyPodiatrist
License Number122
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: