Provider Demographics
NPI:1104291475
Name:FLINT, ALFRED (DVM, PHD)
Entity type:Individual
Prefix:DR
First Name:ALFRED
Middle Name:
Last Name:FLINT
Suffix:
Gender:M
Credentials:DVM, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3934 FRONTAGE RD
Mailing Address - Street 2:
Mailing Address - City:THREE FORKS
Mailing Address - State:MT
Mailing Address - Zip Code:59752-8501
Mailing Address - Country:US
Mailing Address - Phone:406-285-0123
Mailing Address - Fax:406-285-6941
Practice Address - Street 1:3934 FRONTAGE RD
Practice Address - Street 2:
Practice Address - City:THREE FORKS
Practice Address - State:MT
Practice Address - Zip Code:59752-8501
Practice Address - Country:US
Practice Address - Phone:406-285-0123
Practice Address - Fax:406-285-6941
Is Sole Proprietor?:No
Enumeration Date:2015-12-11
Last Update Date:2015-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MTMT2045174M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174M00000XOther Service ProvidersVeterinarian