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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MALLORY IVERSON, PA-C

Active

MALLORY IVERSON, PA-C is a Physician Assistant healthcare provider located in MURRAY, Utah. NPI 1174147961 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · MURRAY, UT

Registration Details

NPI Number
1174147961
Provider Type
Individual
Gender
Female
NPI Issued
Jun 8, 2020 (6.2072833372742 yrs)
Last Updated
Oct 25, 2022
Licenses
PA-2213 (ID)
12106313-1206 (UT)

Practice Information

Address
5121 S COTTONWOOD DR
BUILDING 2 STE 320
MURRAY, UT, 84107
Browse UT providers · Browse ZIP 84107
Phone
8015073380
Primary Specialty
Physician Assistant
363A00000X
Additional Specialty
Physician Assistant

Other Physician Assistant Providers in MURRAY, UT

Name Credential NPI
STEVE MASON PAC 1891764965
BRUCE A. BOLONESI PA-C 1619928199
MR. MICHAEL HANS FERGUSON P.A. 1982629200
MR. TERENCE JOHN POWERS P.A. 1114942448
MR. PERRY EUGENE HALL P.A. 1164442125
CASSITY WRIGHT BALLENTINE PA-C 1790790111
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.