Individual
LESLIE K IVERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
7410 S CREEK RD STE 100, SANDY, UT 84093-6151
(801) 816-1010
(801) 515-0045
Mailing address
4337 S BUTTERNUT RD, HOLLADAY, UT 84124-3621
(480) 570-4922
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
08/08/2006
Last updated
01/13/2023
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