Individual
MRS. JODI FLYNN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
589 S STATE ST, PROVO, UT 84606-5056
(801) 602-4795
Mailing address
582 PARK PLACE DR, BRIGHTON, CO 80601-2689
(417) 299-2905
(970) 230-6438
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
13724198-1206
UT
363AM0700X
Medical Physician Assistant
2003002309
MO
Other
Enumeration date
09/20/2006
Last updated
11/19/2024
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