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NPI Code Detail

MEDICARE: DR. RYAN ANDREW FLANNERY M.D.

MEDICARE: DR. RYAN ANDREW FLANNERY M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician34659IA

General Provider Information

NPI Number : 1114981396
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RYAN ANDREW FLANNERY M.D.
Provider Business Mailing Address
First Line : PO BOX 909
Second Line :
City : WASHINGTON
State : IA
Zip : 52353-0909
Country : US
Telephone Number : 319-653-7291
Fax Number : 319-653-7440
Provider Business Practice Location Address
First Line : 1230 S IOWA AVE
Second Line :
City : WASHINGTON
State : IA
Zip : 52353-1144
Country : US
Telephone Number : 319-653-7291
Fax Number : 319-653-7440
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/14/2006
Last Update Date : 05/09/2014

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