Individual
IVAN D FLINT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1250 E 3900 S STE 450, SLC, UT 84124-1349
(801) 262-3600
(801) 262-2555
Mailing address
1250 E 3900 S STE 450, SLC, UT 84124-1349
(801) 262-3600
(801) 262-2555
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
3200011205
UT
Other
Enumeration date
11/18/2005
Last updated
12/17/2007
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