IVAN D FLINT MD PC NPI 1821271529

NPI Information

IVAN D FLINT MD PC is a clinic center in Slc, UT. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). IVAN D FLINT MD PC NPI is 1821271529. The provider is registered as an organization entity type.

The provider's business location address is:

1250 E 3900 S STE 450
SLC, UT
ZIP 84124-349
Phone: (801) 262-3600
Fax: (801) 206-2555

The provider's authorized official is Ivan D Flint .
The authorized official title is Md/ President and has the following contact phone number (801) 262-3600.

The enumeration date for this NPI number is 12/17/2007 and was last updated on 12/17/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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