Individual
DR. MARK A FLINNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1405 HOWELL AVE, WORLAND, WY 82401
(307) 347-2555
(307) 347-9831
Mailing address
1405 HOWELL AVE, WORLAND, WY 82401
(307) 347-2555
(307) 347-9831
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4625A
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05726001
BLUE CROSS BLUE SHIELD
WY
05
—
104499100
—
WY
05
—
120726100
—
WY
01
—
836000025-24
TRICARE
WY
01
—
P00215311
RR MEDICARE
WY
Enumeration date
11/08/2006
Last updated
08/11/2020
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