Individual
DEIDRE A FLANAGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
450 WILLIAMS WAY, MOAB, UT 84532-2185
(435) 719-3500
Mailing address
450 WILLIAMS WAY, MOAB, UT 84532-2185
(435) 719-3500
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
12793568-1205
UT
208600000X
Surgery Physician
40899
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1013902592
—
UT
05
—
32544100
—
WI
Enumeration date
09/12/2005
Last updated
11/28/2022
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