# FLYNN FAMILY CARE CLINIC, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1871526046
- **Authorized official:** DR. JOHN WAYNE FLYNN M.D. (PRESIDENT)
- **Authorized official phone:** (405) 247-2557

## Contact information

- **Practice address:** 406 SE 11TH ST, ANADARKO, OK 73005-4442
- **Practice address phone:** (405) 247-2557
- **Practice address fax:** (405) 247-3245
- **Mailing address:** 406 SE 11TH ST, ANADARKO, OK 73005-4442
- **Mailing address phone:** (405) 247-2557
- **Mailing address fax:** (405) 247-3245

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 14215 | OK | Yes |

## Other

- **Enumeration date:** 07/09/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1619937190 | INDIVIDUAL NPI | OK |