Individual
DEDRA M FLYNN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1330 EXCHANGE ST, SUITE 201, MIDDLEBURY, VT 05753-4464
(802) 388-7959
(802) 388-8136
Mailing address
104 PORTER DR, MIDDLEBURY, VT 05753-8527
(802) 388-8808
(802) 388-8322
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
0420010996
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02681818
—
NY
05
—
1011760
—
VT
Enumeration date
10/18/2005
Last updated
12/26/2013
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