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DR. TERRANCE PROCTER FLANAGAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1138 9TH ST, APT H, SANTA MONICA, CA 90403-5244
(310) 478-3711
Mailing address
1138 9TH ST, APT H, SANTA MONICA, CA 90403-5244

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
A98992
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
A98992
CA LICENSE
CA
Enumeration date
09/25/2007
Last updated
09/25/2007
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