Organization
BEAVER MEDICAL GROUP, LP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DENNIS P FLYNN MD (VICE PRESIDENT OF MEDICAL AFFAIRS)
(951) 845-0313
Entity
Organization
Contact information
Practice address
5957 W RAMSEY ST, BANNING, CA 92220-3058
(951) 845-0313
(909) 796-4158
Mailing address
PO BOX 2200, REDLANDS, CA 92373-0722
(909) 793-3311
(909) 796-4158
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
07/21/2006
Last updated
09/11/2025
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