Provider Demographics
NPI:1427109461
Name:FLINT, PATTI ANN (MD)
Entity type:Individual
Prefix:
First Name:PATTI
Middle Name:ANN
Last Name:FLINT
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7301 E 2ND ST
Mailing Address - Street 2:SUITE 200
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85251-5600
Mailing Address - Country:US
Mailing Address - Phone:480-945-3300
Mailing Address - Fax:480-945-3388
Practice Address - Street 1:7301 E 2ND ST
Practice Address - Street 2:SUITE 200
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85251-5600
Practice Address - Country:US
Practice Address - Phone:480-945-3300
Practice Address - Fax:480-945-3388
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ23855208200000X
TXH8042208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ2400054OtherRAILROAD MEDICARE
AZ13-00042OtherUNITED HEALTHCARE
AZ351148Medicaid
AZAZ0805160OtherBLUE CROSS
AZ86033OtherCIGNA
AZ1Z3461OtherHEALTHNET
AZ351148Medicaid
AZ86033OtherCIGNA