Organization
GREGORY IVERSON FAMILY MEDICINE, PLLC
Active
Other names
Kamas Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY DENNIS IVERSON D.O. (FAMILY PHYSICIAN/MANAGING MEMBER)
(435) 336-4403
Entity
Organization
Contact information
Practice address
228 WEST 200 SOUTH, KAMAS, UT 84036-0159
(435) 783-4385
(435) 783-2919
Mailing address
PO BOX 159, KAMAS, UT 84036-0159
(435) 783-4385
(435) 783-2919
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
7261660-1204
UT
Other
Enumeration date
04/21/2011
Last updated
11/30/2011
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