Active NPI 1962484485 Individual Practitioner Male Practitioner

Dr. Ivan D Flint , MD

Dermatology • Slc, UT

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Ivan Flint, MD is a certified Dermatology practicing in Slc, UT. With approximately 38 years of clinical experience since graduating from University Of Utah School Of Medicine in 1988, Dr. Flint delivers high-quality medical care to the local community at 1250 E 3900 S STE 450.

Dr. Flint is affiliated with Ivan D Flint Md Pc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks, destruction of precancer skin growth, 2-14 growths. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1250 E 3900 S Ste 450

Slc, UT 841241349

Telephone 8012623600

Fax 8012622555

Associated Practice Facility / Clinic

🏢 Ivan D Flint Md Pc Facility NPI 1821271529

Medicare Profile & Education

Medical School

University Of Utah School Of Medicine

Graduation Year

1988

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Dermatology in Slc, UT

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

38 Yrs Matches City Avg

City Avg: 38.0 Yrs

State Avg: 19.7 Yrs

Regional Practice Density

1 Specialists

Practicing in Slc, UT (184 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

71.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Flint (38 Years) 38 Yrs

Slc Specialty Average (38.0 Years) 38.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	204	138	$259.85	$86.00
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	152	98	$1853.07	$587.67
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	146	99	$157.14	$53.12
17003 Destruction of precancer skin growth, 2-14 growths	111	33	$18.74	$6.17
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	86	36	$1127.87	$384.17
17000 Destruction of skin growth	73	60	$191.80	$47.30
11104 Punch biopsy, first skin growth	56	51	$354.20	$113.00
12052 Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth	46	35	$860.50	$155.37
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	36	28	$839.44	$173.29
17110 Destruction of up to 14 skin growths	26	24	$322.21	$89.43
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	22	21	$365.91	$121.46
11102 Tangential biopsy of single skin lesion	21	16	$285.11	$84.64
11105 Punch biopsy, each additional skin growth	18	13	$169.16	$55.28
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	17	17	$320.30	$105.67
17313 Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks	16	13	$1664.08	$559.38
12042 Intermediate repair of wound of neck, hands, feet, or genitals, 2.6-7.5 cm	15	13	$850.44	$154.12
14040 Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.0 sq cm or less	13	12	$2184.44	$713.87
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	11	11	$1147.46	$215.78

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	269	159	$162.81	$54.26
99213 Established patient office or other outpatient visit, typically 15 minutes	178	136	$261.38	$86.27
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	141	100	$1953.15	$580.28
17000 Destruction of skin growth	110	81	$193.23	$53.52
17003 Destruction of precancer skin growth, 2-14 growths	89	31	$19.08	$6.32
11104 Punch biopsy, first skin growth	67	58	$360.81	$114.45
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	49	34	$1183.16	$395.71
17110 Destruction of up to 14 skin growths	49	39	$325.83	$101.07
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	45	41	$874.76	$207.06
12052 Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth	44	38	$913.23	$156.12
11105 Punch biopsy, each additional skin growth	29	19	$170.29	$56.99
17313 Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks	29	26	$1831.32	$612.89
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	25	25	$323.82	$108.35
11102 Tangential biopsy of single skin lesion	21	19	$290.64	$71.89
14040 Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.0 sq cm or less	18	17	$2191.13	$733.92
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	14	14	$705.27	$126.43
69100 Biopsy of ear	14	12	$278.49	$66.45

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	204	140	$253.77	$88.12
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	186	122	$161.18	$54.24
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	110	94	$1914.00	$564.43
17003 Destruction of precancer skin growth, 2-14 growths	103	37	$18.56	$6.49
17000 Destruction of skin growth	98	74	$188.19	$50.39
11104 Punch biopsy, first skin growth	66	57	$361.90	$115.45
17110 Destruction of up to 14 skin growths	55	44	$320.50	$99.17
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	51	36	$1179.18	$394.86
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	34	27	$866.43	$229.67
12052 Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth	32	30	$905.25	$149.33
11105 Punch biopsy, each additional skin growth	27	20	$159.31	$57.62
17313 Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks	27	18	$1720.03	$572.05
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	25	25	$325.23	$108.80
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	23	19	$340.06	$124.89
11102 Tangential biopsy of single skin lesion	16	15	$277.20	$89.54
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	13	12	$708.66	$128.14
14040 Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.0 sq cm or less	13	12	$2190.57	$731.96
12042 Intermediate repair of wound of neck, hands, feet, or genitals, 2.6-7.5 cm	13	12	$869.16	$163.25
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	12	11	$2125.95	$742.99

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	670	141	$9.49	$6.27
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	515	282	$83.16	$54.34
17000 Destruction of skin growth	244	193	$97.39	$51.92
99213 Established patient office or other outpatient visit, typically 15 minutes	196	162	$140.97	$88.48
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	175	117	$1029.52	$576.02
11104 Punch biopsy, first skin growth	115	95	$193.37	$119.66
17110 Destruction of up to 14 skin growths	105	82	$167.25	$103.82
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	87	52	$619.55	$391.26
11105 Punch biopsy, each additional skin growth	62	36	$91.07	$59.12
11102 Tangential biopsy of single skin lesion	57	53	$152.21	$91.58
12052 Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth	55	47	$479.99	$152.12
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	42	36	$473.06	$235.62
99202 New patient office or other outpatient visit, typically 20 minutes	38	38	$105.28	$70.68
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	35	35	$165.66	$109.16
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	27	25	$202.27	$123.22
12042 Intermediate repair of wound of neck, hands, feet, or genitals, 2.6-7.5 cm	21	18	$464.29	$158.94
17313 Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks	20	14	$959.21	$569.79
11103 Biopsy of related skin growth, each additional growth	20	16	$78.45	$51.16
14040 Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.0 sq cm or less	17	16	$1159.34	$735.08
69100 Biopsy of ear	17	14	$148.39	$67.80
17004 Destruction of precancer skin growth, 15 or more growths	15	12	$243.98	$160.31
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	13	12	$376.08	$139.17
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	13	13	$1223.37	$748.17
12011 Repair of wound (2.5 centimeters or less) of the face, ears, eyelids, nose, lips, and/or mucous membranes	11	11	$164.20	$62.93

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	1,157	213	$16.66	$5.80
99213 Established patient office or other outpatient visit, typically 15 minutes	526	370	$119.54	$73.69
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	423	244	$78.30	$44.43
17000 Destruction of skin growth	373	284	$111.68	$50.82
11104 Punch biopsy, first skin growth	190	164	$229.28	$118.11
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	144	100	$1049.98	$586.71
17110 Destruction of up to 14 skin growths	91	77	$172.10	$97.16
11102 Tangential biopsy of single skin lesion	86	75	$148.58	$88.72
11105 Punch biopsy, each additional skin growth	81	47	$104.19	$59.17
99202 New patient office or other outpatient visit, typically 20 minutes	70	70	$121.82	$73.49
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	61	39	$617.58	$384.45
12052 Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth	35	30	$459.22	$154.35
11103 Biopsy of related skin growth, each additional growth	32	25	$94.30	$51.66
17004 Destruction of precancer skin growth, 15 or more growths	31	30	$253.21	$154.31
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	30	26	$443.38	$217.25
69100 Biopsy of ear	23	22	$282.71	$66.90
17313 Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks	21	15	$1130.29	$594.25
99201 New patient office or other outpatient visit, typically 10 minutes	20	20	$65.81	$44.84
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	20	20	$185.21	$106.04
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	17	16	$704.05	$273.85
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	14	12	$360.36	$147.39
14040 Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.0 sq cm or less	13	13	$1352.44	$751.44
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	12	11	$783.43	$219.34
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	11	11	$438.95	$138.33

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	1,560	262	$20.00	$5.51
99213 Established patient office or other outpatient visit, typically 15 minutes	561	407	$125.00	$72.59
17000 Destruction of skin growth	478	341	$120.00	$53.43
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	473	281	$80.05	$43.88
11104 Punch biopsy, first skin growth	200	171	$244.00	$116.42
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	161	114	$1100.00	$600.04
17110 Destruction of up to 14 skin growths	139	96	$180.00	$97.79
11105 Punch biopsy, each additional skin growth	86	52	$108.95	$58.82
11102 Tangential biopsy of single skin lesion	85	81	$150.00	$91.40
99202 New patient office or other outpatient visit, typically 20 minutes	82	82	$125.00	$74.86
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	61	46	$800.00	$234.22
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	55	35	$650.00	$388.45
17004 Destruction of precancer skin growth, 15 or more growths	44	41	$260.00	$149.01
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	40	38	$720.00	$304.21
11103 Biopsy of related skin growth, each additional growth	33	25	$96.36	$50.48
99201 New patient office or other outpatient visit, typically 10 minutes	29	29	$65.00	$44.05
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	26	26	$200.00	$106.70
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	22	20	$360.00	$133.30
69100 Biopsy of ear	20	17	$332.00	$84.12
17313 Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks	14	11	$1200.00	$613.71
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	13	13	$1500.00	$773.21
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	11	11	$700.00	$304.12

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	1,619	272	$20.00	$5.11
99213 Established patient office or other outpatient visit, typically 15 minutes	627	456	$125.00	$70.67
17000 Destruction of skin growth	502	356	$120.00	$52.33
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	481	271	$65.00	$42.18
11100 Biopsy of single growth of skin and/or tissue	331	258	$170.00	$93.72
11101 Biopsy of each additional growth of skin and/or tissue	215	101	$155.00	$31.60
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	199	134	$1100.00	$565.05
17110 Destruction of up to 14 skin growths	162	117	$180.00	$105.19
99202 New patient office or other outpatient visit, typically 20 minutes	95	95	$125.00	$72.42
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	85	49	$650.00	$376.15
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	77	53	$800.00	$237.81
17004 Destruction of precancer skin growth, 15 or more growths	54	48	$260.00	$140.40
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	49	43	$720.00	$325.74
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	36	36	$195.83	$105.31
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	29	24	$360.00	$124.70
69100 Biopsy of ear	28	23	$332.00	$67.79
14040 Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.0 sq cm or less	22	22	$1500.00	$745.14
99201 New patient office or other outpatient visit, typically 10 minutes	20	20	$65.00	$43.18
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	17	13	$700.00	$326.89
12011 Repair of wound (2.5 centimeters or less) of the face, ears, eyelids, nose, lips, and/or mucous membranes	16	15	$240.00	$53.86
17313 Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks	16	16	$1200.00	$599.06
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	12	11	$461.00	$161.87
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	12	11	$1500.00	$762.36

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	1,667	287	$20.00	$5.31
99213 Established patient office or other outpatient visit, typically 15 minutes	686	487	$125.00	$70.16
17000 Destruction of skin growth	513	383	$120.00	$52.37
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	476	271	$65.00	$41.80
11100 Biopsy of single growth of skin and/or tissue	341	253	$170.00	$89.74
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	247	151	$1100.00	$577.20
11101 Biopsy of each additional growth of skin and/or tissue	202	87	$155.00	$31.99
17110 Destruction of up to 14 skin growths	147	117	$180.00	$101.90
99202 New patient office or other outpatient visit, typically 20 minutes	122	122	$125.00	$71.52
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	104	64	$650.00	$373.64
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	95	66	$800.00	$230.35
17004 Destruction of precancer skin growth, 15 or more growths	66	59	$260.00	$142.82
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	51	51	$150.00	$104.84
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	48	41	$720.00	$291.87
99201 New patient office or other outpatient visit, typically 10 minutes	34	34	$65.00	$42.42
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	33	27	$360.00	$134.17
69100 Biopsy of ear	33	31	$319.88	$62.94
17313 Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks	24	22	$1200.00	$595.63
14040 Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.0 sq cm or less	20	19	$1500.00	$742.33
12011 Repair of wound (2.5 centimeters or less) of the face, ears, eyelids, nose, lips, and/or mucous membranes	19	18	$240.00	$52.69
12001 Repair of wound (2.5 centimeters or less) of the scalp, neck, underarms, trunk, arms and/or legs	16	15	$225.00	$48.45
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	15	15	$700.00	$355.59
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	14	12	$1500.00	$731.94
13152 Complicated repair of wound of eyelids, nose, ears, or lip, 2.6-7.5 cm	13	12	$731.00	$245.69

Medical Specialties & State Licenses

Dermatology Primary Specialty

NUCC Taxonomy Code: 207N00000X

State License UT 3200011205

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

Hospital & Practice Group Affiliations

Ivan D Flint Md Pc

1250 E 3900 S, Salt Lake Cty, UT 841241349

Phone: 8012623600

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners

Dr. Audrey Dean , MD

Dermatology

NPI 1053765784

Doctor of Medicine (M.D.)

Mark Pulver , PA

Physician Assistant

NPI 1205007093

Physician Assistant

Christopher Neville , PA-C

Physician Assistant

NPI 1689617714

Physician Assistant (Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active December 17, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location December 17, 2007

Registered at 1250 E 3900 S STE 450, SLC, UT 841241349 (Tel: 8012623600)

📍

Updated Business Mailing Address December 17, 2007

Registered at 1250 E 3900 S STE 450, SLC, UT 841241349 (Tel: 8012623600)

👤

Provider Name / Credentials Updated December 17, 2007

Recorded as IVAN FLINT, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 17, 2007

Dermatology (License #3200011205 in UT)

🟢

Initial NPI Registration & Enumeration November 18, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1962484485

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: November 18, 2005

Last Update: December 17, 2007

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

1250 E 3900 S Ste 450

Slc, UT 841241349

Phone: 8012623600

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.