Individual
DR. GREGORY LYNN FLINT
Active
Individual
DR. GREGORY LYNN FLINT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
M3500
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010004115
REGENCE BLUESHIELD OF ID
ID
05
—
002486300
—
ID
01
—
070002801
RAILROAD MEDICARE
ID
01
—
35006
BLUE CROSS OF IDAHO
ID
Enumeration date
09/26/2006
Last updated
07/28/2009
Update your record
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