Individual
ROBERT G IVEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1130 COMMERCE DR, LAS CRUCES, NM 88011-8209
(575) 521-3025
(575) 521-3565
Mailing address
1130 COMMERCE DR, LAS CRUCES, NM 88011-8209
(575) 521-3025
(575) 521-3565
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
2917
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
G9684
—
NM
Enumeration date
05/05/2006
Last updated
12/17/2010
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