Larry D Iversen MD Ltd Ps
NPI #1295854123 in Bremerton, Washington
Provider Information
- NPI Number
- 1295854123
- Entity Type
- Organization
- Organization Name
- Larry D Iversen MD Ltd Ps
- Primary Specialty
- Specialist
- Enumeration Date
- Mar 29, 2007
- Last Updated
- Nov 19, 2007
Practice Location
- Address
- 840 CALLAHAN DR
- Address 2
- SUITE C
- City
- Bremerton
- State
- Washington
- ZIP Code
- 98310-3378
- Phone
- (360) 479-2525
Authorized Official
- Name
- LARRY D IVERSEN, M.D.
- Title
- OWNER
- Phone
- (360) 479-2525
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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