MEDICARE: DAVID FRANCIS FLANAGAN 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
1	174400000X	Specialist

General Provider Information

NPI Number	:	1417913831
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAVID FRANCIS FLANAGAN M.D.

Provider Business Mailing Address
First Line	:	1776 SACRAMENTO ST
Second Line	:	401
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94109-3685
Country	:	US
Telephone Number	:	415-922-4030
Fax Number	:

Provider Business Practice Location Address
First Line	:	1515 FRUITVALE AVE
Second Line	:
City	:	OAKLAND
State	:	CA
Zip	:	94601-2322
Country	:	US
Telephone Number	:	510-535-6200
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/25/2006
Last Update Date	:	07/08/2007

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