Organization
GREGORY IVERSON FAMILY MEDICINE PLLC
Active
Other names
Coalville Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREGORY DENNIS IVERSON D.O. (FAMILY PHYSICIAN/MANAGING MEMBER)
(435) 336-4403
Entity
Organization
Contact information
Practice address
142 SOUTH 50 EAST, COALVILLE, UT 84017-0865
(435) 336-4403
(435) 336-5570
Mailing address
PO BOX 865, COALVILLE, UT 84017-0865
(435) 336-4403
(435) 336-5570
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
7261660-1204
UT
Other
Enumeration date
04/21/2011
Last updated
11/30/2011
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