Individual
AARON IVERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
9961 SIERRA AVE, FONTANA, CA 92335
(909) 427-5000
Mailing address
602 W 3275 N, LEHI, UT 84043-2335
(801) 781-4514
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
806523
CA
367500000X
Certified Registered Nurse Anesthetist
Primary
6619885-4406
UT
Other
Enumeration date
04/19/2014
Last updated
08/28/2018
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