Individual
DR. TRITON IVIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
454 PINE ST, EASTSOUND, WA 98245-9454
(360) 376-5575
Mailing address
837 COUNTRY CLUB DR, STANSBURY PARK, UT 84074-9627
(435) 265-8426
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH61099097
WA
Other
Enumeration date
10/31/2020
Last updated
07/07/2023
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