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Individual

PAUL G. FLATLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
5656 E ORANGE BLOSSOM LN STE 5, PHOENIX, AZ 85018-8139
(602) 601-7429
(602) 601-7428
Mailing address
5656 E ORANGE BLOSSOM LN STE 5, PHOENIX, AZ 85018-8139
(602) 601-7429
(602) 601-7428

Taxonomy

Speciality
Code
Description
License number
State
146D00000X
Personal Emergency Response Attendant
Primary
3162
AZ
2083A0300X
Addiction Medicine (Preventive Medicine) Physician
3162
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
504386
AZ
Enumeration date
05/11/2006
Last updated
08/04/2021
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