Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VG0400X | Gynecologist | 2326 | NV |
NPI | 1083985212 |
---|---|
Provider Name | Patrick Michael Flanagan |
First Address | Las Vegas, NV 89102-4034 |
Second Address | Las Vegas, NV 89102-4034 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 19/01/2012 |
Last Update Date | 19/01/2012 |