Individual
DR. FLYNN A TAYLOR I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
501 S PINE ST, DERIDDER, LA 70634-4939
(337) 463-9890
(337) 462-9521
Mailing address
501 S PINE ST, DERIDDER, LA 70634-4939
(337) 463-9890
(337) 462-9521
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
014367
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
014367
STATE LICENSE NUMBER
LA
05
—
1186384
—
LA
Enumeration date
04/06/2006
Last updated
09/15/2014
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