Individual
ANN DEBOURCY FLYNN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
30 N 1900 E, SOM 4R118, SALT LAKE CITY, UT 84132-0002
(801) 581-7803
(801) 581-7476
Mailing address
30 N 1900 E, SOM 4R118, SALT LAKE CITY, UT 84132-0002
(801) 581-7803
(801) 581-7476
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01071372A
IN
207RG0100X
Gastroenterology Physician
01071372A
IN
207RG0100X
Gastroenterology Physician
Primary
8525129-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000772850
ANTHEM
IN
05
—
201078440
—
IN
01
—
P01163477
RAILROAD MEDICARE
IN
Enumeration date
01/26/2007
Last updated
10/28/2021
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