Individual
DR. RONALD WAYNE FLENNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
825 FAIRFAX AVE, SUITE 572, NORFOLK, VA 23507-1914
(757) 446-8999
(757) 446-7922
Mailing address
PO BOX 936, NORFOLK, VA 23501-0936
(757) 446-8999
(757) 446-7922
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0101046038
VA
207RI0200X
Infectious Disease Physician
Primary
0101046038
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
-032
TRICARE/CHAMPUS
VA
05
—
006041060
—
VA
01
—
05624
BC/BS
NC
01
—
074366
ANTHEM
VA
01
—
12876
SENTARA OPTIMA
VA
01
—
280955
UHC/MAMSI
VA
05
—
7905624
—
NC
01
—
PAR
AETNA
VA
Enumeration date
02/15/2006
Last updated
06/08/2016
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