Individual
CASSIDY MARIE IVERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3350 E DUNGEON DR, WASHINGTON, UT 84780-3830
(801) 580-1558
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
14269223-1206
UT
Other
Enumeration date
01/20/2026
Last updated
04/27/2026
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