Torey Sue Ivanic, PA-C

NPI #1972561272 in Exeter, California

Provider Information

NPI Number: 1972561272
Entity Type: Individual
Name: Torey Sue Ivanic, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: May 3, 2006
Last Updated: Feb 9, 2012

Practice Location

Address: 330 E PINE ST
City: Exeter
State: California
ZIP Code: 93221-1838
Phone: (559) 592-2134

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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