GREGORY IVERSON FAMILY MEDICINE, PLLC; NPI #1043501257

Contact Information

GREGORY IVERSON FAMILY MEDICINE, PLLC

228 WEST 200 SOUTH
KAMAS, UT 84036-0159

Phone: 435-783-4385
Fax: 435-783-2919
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Rural Health	261QR1300X	B4[14]	Rural Health Clinic

Indicates primary specialty

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NPI Profile & details for GREGORY IVERSON FAMILY MEDICINE, PLLC

NPI Number 1043501257

LBN Legal business name GREGORY IVERSON FAMILY MEDICINE, PLLC

Authorized official GREGORY IVERSON - (FAMILY PHYSICIAN/MANAGING MEMBER)

Entity Organization

Organization subpart ¹ No

Enumeration date 04/21/2011

Last updated 11/30/2011 - About 15 years ago

Identifiers

License #

7261660-1204

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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GREGORY IVERSON FAMILY MEDICINE, PLLC

Contact Information

Specialty

Rural Health

NPI Profile & details for GREGORY IVERSON FAMILY MEDICINE, PLLC

Reviews for GREGORY IVERSON FAMILY MEDICINE, PLLC