Mallory Iverson, PA-C

NPI #1174147961 in Murray, Utah

Provider Information

NPI Number: 1174147961
Entity Type: Individual
Name: Mallory Iverson, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Jun 8, 2020
Last Updated: Oct 25, 2022

Practice Location

Address: 5121 S COTTONWOOD DR
Address 2: BUILDING 2 STE 320
City: Murray
State: Utah
ZIP Code: 84107
Phone: (801) 507-3380

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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