Individual
CORY IPSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
782 MEDICAL CENTER DR E STE 311, CLOVIS, CA 93611-6892
(559) 472-4600
Mailing address
PO BOX 25100, FRESNO, CA 93729-5100
(801) 413-9432
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
08/10/2021
Last updated
12/04/2025
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