Individual
PAUL H IVERSON
Active
Individual
PAUL H IVERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
1404
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1120
NDBS #
ND
01
—
115958
UCARE#
ND
05
—
17824
—
ND
05
—
274817700
—
ND
01
—
676709
AMERICA'S PPO/ARAZ #
ND
01
—
8600235
MEDICA #
ND
01
—
8600256
MEDICA #
ND
01
—
91802IV
MNBS #
ND
01
—
DA9011015544
PREFERRED ONE #
ND
01
—
HP38639
HEALTHPARTNERS #
ND
01
—
ND200029
LHS #
ND
Enumeration date
07/11/2006
Last updated
09/22/2011
Update your record
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