Individual
RICHARD DEAN IVERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
200 UNIVERSITY PKWY, YAKIMA, WA 98901-9539
(509) 452-5100
Mailing address
200 UNIVERSITY PKWY, YAKIMA, WA 98901-9539
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
DO61534281
WA
207R00000X
Internal Medicine Physician
Primary
OP61534281
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/20/2019
Last updated
06/06/2024
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