Individual
DR. RONALD WAYNE FLENNER
Active
Individual
DR. RONALD WAYNE FLENNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
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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