Ivora INC

NPI #1952902850 in Draper, Utah

Provider Information

NPI Number
1952902850
Entity Type
Organization
Organization Name
Ivora INC
Primary Specialty
Clinic/Center - Primary Care
Enumeration Date
Nov 6, 2020
Last Updated
Feb 16, 2022

Practice Location

Address
13894 S BANGERTER PKWY STE 200
City
Draper
State
Utah
ZIP Code
84020-5320
Phone
(801) 901-3603

Authorized Official

Name
STEPHEN M FABIANO
Title
CEO
Phone
(954) 702-3372

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - GerontologyGerontology
Clinic/Center - Primary CarePrimary Care

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