Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Mark P Pulver, PA

Individual provider Physician Assistant · NPI 1205007093

Mr. Mark P Pulver, PA is a Physician Assistant in Salt Lake City, Utah. Graduated from University of Utah School of Medicine in 2007, 19 years ago. Practices with Ivan D Flint MD PC, a 3-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
19
Trained at
University of Utah School of Medicine
Licensed in
UT
In the registry since
2008
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

4252 S Highland Dr Ste 200
Salt Lake City, UT 84124-2690
Phone: (801) 262-3600
Fax: (801) 262-3600
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1250 E 3900 S Ste 450, Salt Lake City, UT 84124-1349 — (801) 262-3600

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 6766665-1206 (UT)

Record details

NPI number1205007093
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedMarch 19, 2008
Last updated in NPPESMay 5, 2026
Certification dateMay 5, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolUNIVERSITY OF UTAH SCHOOL OF MEDICINE
Graduated 2007 (19 years in practice)
Group practice Ivan D Flint Md Pc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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