Individual
BRIAN RUSSELL FLYNN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SUBMARINE IDC
Contact information
Practice address
122 CORMORANT RD, GROTON, CT 06340-3113
(814) 214-2394
Mailing address
122 CORMORANT RD, GROTON, CT 06340-3113
(814) 214-2394
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
07/29/2024
Last updated
07/29/2024
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