Individual
STEFAN IVERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1000 RUSH DR, SALIDA, CO 81201-9627
(719) 530-2000
Mailing address
1101 PINON DR, PONCHA SPRINGS, CO 81242-5084
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
75732
CO
Other
Enumeration date
03/24/2020
Last updated
12/12/2025
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