Organization
LOUIS IVEY MD AND ASSOCIATES P A
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LOUIS A IVEY II MD (PRESIDENT)
(301) 913-9207
Entity
Organization
Contact information
Practice address
7316 WISCONSIN AVE, SUITE 220, BETHESDA, MD 20814-2989
(301) 913-9207
(301) 913-5720
Mailing address
7316 WISCONSIN AVE, SUITE 220, BETHESDA, MD 20814-2989
(301) 913-9207
(301) 913-5720
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
D0009282
MD
208600000X
Surgery Physician
Primary
MD5404
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4401100
—
DC
Enumeration date
02/29/2008
Last updated
11/18/2015
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