Provider Demographics
NPI:1972892669
Name:FLORES, DAVID (MD)
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:
Last Name:FLORES
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:980 W IRONWOOD DR
Mailing Address - Street 2:STE 104
Mailing Address - City:COEUR D ALENE
Mailing Address - State:ID
Mailing Address - Zip Code:83814-2668
Mailing Address - Country:US
Mailing Address - Phone:208-667-0621
Mailing Address - Fax:208-664-1709
Practice Address - Street 1:980 W IRONWOOD DR STE 104
Practice Address - Street 2:
Practice Address - City:COEUR D ALENE
Practice Address - State:ID
Practice Address - Zip Code:83814-2668
Practice Address - Country:US
Practice Address - Phone:208-667-0621
Practice Address - Fax:208-664-1709
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-04
Last Update Date:2016-07-22
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
IDM-13193208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology