Individual
GODELA R IVERSON
Active
Individual
GODELA R IVERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
28275
MN
207RI0200X
Infectious Disease Physician
Primary
3278
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1022
NDBS #
ND
01
—
10750
NDBS #
ND
05
—
12383
—
ND
01
—
142019
UCARE #
ND
01
—
2580
NDBS #
MN
01
—
4864
NDBS #
ND
01
—
50168IV
MNBS #
MN
01
—
902104
AMERICA'S PPO/ARAZ #
ND
01
—
91481IV
MNBS #
ND
01
—
9200082
MEDICA #
ND
01
—
9200119
MEDICA #
ND
01
—
DA9011015543
PREFERRED ONE #
ND
01
—
HP25778
HEALTHPARTNERS #
ND
01
—
ND200028
LHS #
ND
Enumeration date
07/04/2006
Last updated
07/09/2007
Update your record
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