Most Relevant Information
Provider Data
| NPI Number: | 1003070780 |
| Provider Name: | JERRY PAUL FLYNN M.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: | LL17668 |
Most Important Dates
| Enumeration Date: | 07/11/2008 |
| Last Updated: | 06/28/2021 |
Provider Practice Location
417 1ST AVE
SEWARD
AK
996640365
Practice Location Phone/Fax
| Phone: | 9072245205 |
| Fax: | 9072247428 |
Provider Mailing Location
PO BOX 2816
SEWARD
AK
996642816
Provider Mailing Phone/Fax
| Phone: | 9074910645 |
| Fax: | 8887231672 |