Provider Demographics
NPI:1326028358
Name:FLYNN, DIANE M (MD)
Entity Type:Individual
Prefix:DR
First Name:DIANE
Middle Name:M
Last Name:FLYNN
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:DEPT OF REHABILITATIVE MEDICINE 9040 JACKSON AVE MAMC
Mailing Address - Street 2:
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98431-9702
Mailing Address - Country:US
Mailing Address - Phone:253-968-2065
Mailing Address - Fax:253-968-2608
Practice Address - Street 1:9040 JACKSON AVE
Practice Address - Street 2:
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98431-0001
Practice Address - Country:US
Practice Address - Phone:253-968-0618
Practice Address - Fax:253-968-2608
Is Sole Proprietor?:No
Enumeration Date:2006-01-17
Last Update Date:2019-10-07
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Provider Licenses
StateLicense IDTaxonomies
WAMD00045959207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine