MR. Broderic D Ivery is a rehabilitation practitioner in North Las Vegas, NV. The provider is a health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity. MR. Broderic D Ivery NPI is 1972844553. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
1915 ONA MARIE AVE
NORTH LAS VEGAS, NV
ZIP 89032-866
Phone: (702) 812-4973
Fax: (702) 631-6312
The enumeration date for this NPI number is 3/7/2013 and was last updated on 3/7/2013.