Individual provider · Type 1 NPI

Ivan Flores, PA

Physician Assistant · Salt Lake City, UT

NPI number 1609760479 Active

Practice location

1111 E Brickyard Rd Apt 430
Salt Lake City, UT 84106-3698

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X14225518-1206 (UT)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1609760479

Ivan Flores, PA's National Provider Identifier is 1609760479, issued on Jun 5, 2025. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Salt Lake City, UT. The record was last updated on Dec 31, 2025.