Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RG0100X | Gastroenterologist | MD071998L | PA |
NPI | 1033191382 |
---|---|
Provider Name | Dr. Renee Flannagan |
First Address | Pittsburgh, PA 15212-4769 |
Second Address | Pittsburgh, PA 15212-4769 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/11/2005 |
Last Update Date | 05/10/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0086315 | (05) | OH |
101223836 | (05) | PA |
3810025364 | (05) | WV |