Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 35084503 | OH |
Y | 207XX0005X | Sports Medicine Orthopaedic Surgeon | 35.084503 | OH |
NPI | 1093771610 |
---|---|
Provider Name | David C Flanigan |
First Address | Columbus, OH 43202-1559 |
Second Address | Columbus, OH 43202-1552 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/04/2006 |
Last Update Date | 24/02/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2508638 | (05) | OH |
I19020 | (02) |