Gregory Iverson Family Medicine, Pllc

NPI 1043501257 - Clinic/Center - 261QR1300X

NPI Details
NPI 1043501257
Enumeration Date 04/21/2011
Last Updated 11/30/2011
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name GREGORY DENNIS GREGORY
Position FAMILY PHYSICIAN/MANAGING MEMBER
Phone (435) 783-4385
Fax (435) 783-2919
Practice Location
228 WEST 200 SOUTH
KAMAS UT, 84036-0159, US
Phone (435) 783-4385
Fax (435) 783-2919
Business Location
PO BOX 159
KAMAS UT, 84036-0159, US
Phone (435) 783-4385
Fax (435) 783-2919
Toxanomy
Taxonomy Code 261QR1300X
License State Utah
License Number 7261660-1204
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According to our database, Gregory Iverson Family Medicine, Pllc NPI is 1043501257, taxonomy code is 261QR1300X and license number is 7261660-1204, license state is located at Utah. Gregory Iverson Family Medicine, Pllc physically located at 228 West 200 South, Kamas UT, 84036-0159. NPI Number 1033115704 has the healthcare provider type.

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1043501257 NPI number is provided on an as is basis without warranty of any kind. 1043501257 is maintained by the National Plan & Provider Enumeration System. The contents of Gregory Iverson Family Medicine, Pllc are for informational purposes only.