Individual
DR. ANDREA S IVERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DC, DABCO
Contact information
Practice address
800 GLACIER AVE, STE 100, JUNEAU, AK 99801-1845
(907) 463-5557
(907) 463-5556
Mailing address
PO BOX 32924, JUNEAU, AK 99803-2924
(907) 463-5557
(907) 463-5556
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
183
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CH0183
—
AK
Enumeration date
11/28/2006
Last updated
11/27/2007
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