Healthcare Provider Details

I. General information

NPI: 1316055668
Provider Name (Legal Business Name): DAVID C FLINDERS MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/28/2006
Last Update Date: 12/28/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

475 W 940 N
PROVO UT
84604
US

IV. Provider business mailing address

928S WOLF HOLLOW DR
SPANISH FORK UT
84660-2818
US

V. Phone/Fax

Practice location:
  • Phone: 801-357-7909
  • Fax: 801-357-8188
Mailing address:
  • Phone: 801-798-7207
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number157873-1205
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: