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Search › Idaho › 208600000X

Jerrold Flyer, MD

NPI 1417944240 · on the registry since 2005

Practice

Address
90 Hope Dr
Building 6000
Mountain Home Afb, ID 83648
Phone
(208) 828-7600
Organisation at this address
Mt Home Refill Phcy
366th Medical Group Sgsl
366th Medgrp-Mountain Home
366th Medgrp-Mountain Home
Inferred from a shared address, not stated in the registry.
Clinicians at this address
90

Registry record

Primary taxonomy
208600000X
208600000X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho