Evan Dayne Ivie, PA

NPI #1558765891 in Ammon, Idaho

Provider Information

NPI Number: 1558765891
Entity Type: Individual
Name: Evan Dayne Ivie, PA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: Oct 15, 2014
Last Updated: Sep 3, 2025

Practice Location

Address: 3456 E 17TH ST STE 190
City: Ammon
State: Idaho
ZIP Code: 83406-6749
Phone: (208) 524-2222

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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