GREGORY IVERSON FAMILY MEDICINE PLLC NPI 1720379936

NPI Information

GREGORY IVERSON FAMILY MEDICINE PLLC is a rural health clinic center in Coalville, UT. GREGORY IVERSON FAMILY MEDICINE PLLC NPI is 1720379936. The provider is registered as an organization entity type.
The provider Is Doing Business As Coalville Health Center.

The provider's business location address is:

142 SOUTH 50 EAST
COALVILLE, UT
ZIP 84017-865
Phone: (435) 336-4403
Fax: (435) 336-5570

The provider's authorized official is Gregory Dennis Iverson .
The authorized official title is Family Physician/managing Member and has the following contact phone number (435) 336-4403.

The enumeration date for this NPI number is 4/21/2011 and was last updated on 11/30/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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