Larry D Iversen Md Ltd Ps

NPI 1295854123 - Specialist - 174400000X

NPI Details
NPI 1295854123
Enumeration Date 03/29/2007
Last Updated 11/19/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name LARRY D LARRY
Position OWNER
Phone (360) 479-2525
Fax (360) 479-0877
Practice Location
840 CALLAHAN DR
SUITE C
BREMERTON WA, 98310-3378, US
Phone (360) 479-2525
Fax (360) 479-0877
Business Location
840 CALLAHAN DR
SUITE C
BREMERTON WA, 98310-3378, US
Phone (360) 479-2525
Fax (360) 479-0877
Toxanomy
Taxonomy Code 174400000X
License State Washington
License Number MD00012070
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According to our database, Larry D Iversen Md Ltd Ps NPI is 1295854123, taxonomy code is 174400000X and license number is MD00012070, license state is located at Washington. Larry D Iversen Md Ltd Ps physically located at 840 Callahan Dr, Bremerton WA, 98310-3378. NPI Number 1033115704 has the healthcare provider type.

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1295854123 NPI number is provided on an as is basis without warranty of any kind. 1295854123 is maintained by the National Plan & Provider Enumeration System. The contents of Larry D Iversen Md Ltd Ps are for informational purposes only.