Laura Ivie, PA-C
NPI #1205135456 in Idaho Falls, Idaho
Provider Information
- NPI Number
- 1205135456
- Entity Type
- Individual
- Name
- Laura Ivie, PA-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Credential
- PA-C
- Enumeration Date
- Mar 26, 2011
- Last Updated
- Mar 8, 2022
Practice Location
- Address
- 3360 WASHINGTON PKWY STE 1
- City
- Idaho Falls
- State
- Idaho
- ZIP Code
- 83404-8333
- Phone
- (208) 524-3416
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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