Individual
PATRICE P FLAHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
187 NINTH ST, JENA, LA 71342-3901
(318) 992-9200
Mailing address
PO BOX 1325, IDALOU, TX 79329-1325
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
015038
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1300594
—
LA
Enumeration date
08/30/2007
Last updated
12/06/2010
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