Individual
MR. ALEX JOSEPH IVERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2180 JOHNSON AVE, SAN LUIS OBISPO, CA 93401-4513
(805) 781-4275
(805) 781-1227
Mailing address
2180 JOHNSON AVE, SAN LUIS OBISPO, CA 93401-4513
(805) 781-4275
(805) 781-1227
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
—
—
Other
Enumeration date
08/26/2010
Last updated
08/26/2010
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