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Individual

CHARLES FLYNN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
1906 BELLEVIEW AVE SE, ROANOKE, VA 24014-1838
(540) 981-7000
Mailing address
1906 BELLEVIEW AVE SE, ROANOKE, VA 24014-1838

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0001-060242
VA
367500000X
Certified Registered Nurse Anesthetist
Primary
0024-060242
VA

Other

Enumeration date
04/21/2006
Last updated
09/02/2015
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