Organization
GRETA M. IVERS, MD, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GRETA IVERS MD (OWNER)
(602) 620-5336
Entity
Organization
Contact information
Practice address
1825 EAST NORTHERN AVENUE, SUITE 125, PHOENIX, AZ 85020
(602) 859-4584
Mailing address
9550 EAST THUNDERBIRD ROAD, UNIT 247, SCOTTSDALE, AZ 85260
(602) 620-5336
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
47170
AZ
Other
Enumeration date
01/16/2015
Last updated
02/24/2015
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