Individual
TROY DONOVAN IVEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
312 9TH ST SW, WAVERLY, IA 50677-2929
(319) 352-8033
(319) 352-8034
Mailing address
312 9TH ST SW, WAVERLY, IA 50677-2929
(319) 352-8033
(319) 352-8034
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
2845
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0112821
—
IA
01
—
16446
BLUE CROSS BLUE SHIELD
IA
Enumeration date
09/07/2005
Last updated
10/09/2018
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