Individual
PATRICK LEROY FLYTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
652 E. WARNER RD., SUITE 107, GILBERT, AZ 85296-3073
(480) 539-8680
(480) 539-1763
Mailing address
652 E. WARNER RD., SUITE 107, GILBERT, AZ 85296-3073
(480) 539-8680
(480) 539-1763
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
31870
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
845026
—
AZ
01
—
Z159227
PTAN
AZ
Enumeration date
07/20/2006
Last updated
07/01/2014
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