Individual
VAL GENE IVEN
Active
Individual
VAL GENE IVEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RS0010X
Sports Medicine (Internal Medicine) Physician
Primary
17462
OK
207RS0010X
Sports Medicine (Internal Medicine) Physician
24746
TN
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
17462
OK
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
24746
TN
Other
Enumeration date
12/18/2006
Last updated
07/09/2009
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