Organization
BEAVER MEDICAL GROUP, LP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DENNIS P FLYNN M.D. (VICE PRESIDENT OF MEDICAL AFFAIRS)
(909) 799-1818
Entity
Organization
Contact information
Practice address
2 W FERN AVE, REDLANDS, CA 92373-5916
(909) 793-3311
(909) 796-4158
Mailing address
PO BOX 2200, REDLANDS, CA 92373-0722
(909) 793-3311
(909) 796-4158
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
—
207K00000X
Allergy & Immunology Physician
—
—
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
207RC0000X
Cardiovascular Disease Physician
—
—
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
—
—
207RP1001X
Pulmonary Disease Physician
—
—
207RR0500X
Rheumatology Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
207W00000X
Ophthalmology Physician
—
—
207X00000X
Orthopaedic Surgery Physician
—
—
208000000X
Pediatrics Physician
—
—
2085R0202X
Diagnostic Radiology Physician
—
—
208600000X
Surgery Physician
—
—
208800000X
Urology Physician
Primary
—
—
Other
Enumeration date
06/14/2006
Last updated
09/11/2025
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