DR. Susan Lee Ivey, MD

NPI #1003004169 in Berkeley, California

Provider Information

NPI Number: 1003004169
Entity Type: Individual
Name: DR. Susan Lee Ivey, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: MD
Enumeration Date: Oct 12, 2007
Last Updated: Oct 12, 2007

Practice Location

Address: 2140 SHATTUCK AVE
Address 2: 10TH FLOOR, HEALTH RESEARCH FOR ACTION, UC-BERKELEY SPH
City: Berkeley
State: California
ZIP Code: 94704-1210
Phone: (510) 643-1883

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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