Individual
DR. LARRY FLICKINGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
17136 PATINA ST, SAN DIEGO, CA 92127-5700
(858) 676-1926
Mailing address
17136 PATINA ST, SAN DIEGO, CA 92127-5700
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
G47859
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G478590
—
CA
Enumeration date
07/11/2006
Last updated
07/08/2007
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