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Individual

DR. JERRY PAUL FLYNN JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
417 1ST AVE, SEWARD, AK 99664-0365
(907) 224-5205
(907) 224-7428
Mailing address
PO BOX 2816, SEWARD, AK 99664-2816
(907) 491-0645
(888) 723-1672

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
52680
CO
207Q00000X
Family Medicine Physician
Primary
7109
AK
390200000X
Student in an Organized Health Care Education/Training Program
LL17668
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
96608226
CO
05
MD9543
AK
Enumeration date
07/11/2008
Last updated
06/28/2021
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