Individual
DR. MATTHEW ROBERT FLAHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
250 E DUNLAP AVE, PHOENIX, AZ 85020-2825
(480) 331-6721
Mailing address
111 E DUNLAP AVE, SUITE 1-279, PHOENIX, AZ 85020-2807
Taxonomy
Speciality
Code
Description
License number
State
2084A2900X
Neurocritical Care Physician
Primary
50168
AZ
2084N0400X
Neurology Physician
50168
AZ
2084N0400X
Neurology Physician
ME114563
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009047300
—
FL
01
—
14QW2
BLUE CROSS BLUE SHIELD
FL
Enumeration date
07/12/2012
Last updated
02/08/2021
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