Individual
JOHN IVERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
743 MILLER VALLEY RD, PRESCOTT, AZ 86301-1813
(928) 777-9600
(928) 777-9797
Mailing address
743 MILLER VALLEY RD, PRESCOTT, AZ 86301-1813
(928) 777-9600
(928) 777-9797
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
6073
AZ
Other
Enumeration date
05/24/2014
Last updated
01/10/2023
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