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Individual

MR. BRIAN F FLANAGAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
6501 COYLE AVE, CARMICHAEL, CA 95608-0306
(916) 537-5000
(916) 851-2884
Mailing address
PO BOX 7096, STOCKTON, CA 95267-0096
(209) 956-7725
(209) 956-7733

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
ME0064317
FL
207L00000X
Anesthesiology Physician
Primary
C52943
CA
207L00000X
Anesthesiology Physician
ME64317
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
050063731
RAILROAD MEDICARE
FL
01
207792
AVMED
FL
01
23148
BCBS OF FLORIDA
FL
05
373009300
FL
Enumeration date
01/12/2006
Last updated
08/21/2018
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