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Individual

RICHARD R FLYNN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2342 DALLIN ST., SALT LAKE CITY, UT 84109
(801) 484-4593
Mailing address
2342 DALLIN ST., SALT LAKE CITY, UT 84109
(801) 484-4593

Taxonomy

Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
147230-1305
UT
2085R0202X
Diagnostic Radiology Physician
Primary
147230-1205
UT

Other

Enumeration date
02/07/2012
Last updated
02/07/2012
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