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

LARRY D IVERSEN MD LTD PS

Active Organization

LARRY D IVERSEN MD LTD PS is a Specialist organization located in BREMERTON, Washington. NPI 1295854123 is currently active in the NPPES registry. Verify at CMS.

Specialist · BREMERTON, WA

Registration Details

NPI Number
1295854123
Provider Type
Organization
NPI Issued
Mar 29, 2007 (19.335159032513 yrs)
Last Updated
Nov 19, 2007
License
MD00012070 (WA)

Practice Information

Address
840 CALLAHAN DR
SUITE C
BREMERTON, WA, 983103378
Browse WA providers · Browse ZIP 98310
Phone
3604792525
Fax
3604790877
Primary Specialty
Specialist
174400000X

Other Specialist Organizations in BREMERTON, WA

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.