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Contact Information

RICHARD B IVERSON, DO
4401 HARRISON BLVD
OGDEN, UT84403-3195
 Phone: 801-387-2800
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anatomic Pathology & Clinical Pathology

207ZP0102X 22 Physician/Pathology
Indicates primary specialty

NPI Profile & details for RICHARD B IVERSON · (Male)

NPI # 1568788602
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 04/14/2010
Last updated 11/17/2025 - About 7 months ago
Sole proprietor 1 No
Identifiers
  • UT License # 8199146-1204
Hospital affiliation(s)
  • SALT LAKE REGIONAL MEDICAL CENTER - (Acute Care)
    1050 EAST SOUTH TEMPLE
    SALT LAKE CITY, UT 84102
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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