Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
GREGORY D IVERSON, D.O
ActiveGREGORY D IVERSON, D.O is a Family Medicine healthcare provider located in COALVILLE, Utah. NPI 1962469395 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · COALVILLE, UT
Registration Details
- NPI Number
- 1962469395
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 28, 2006 (20.117974665466 yrs)
- Last Updated
- May 4, 2010
- Licenses
-
365 (NE)7261660-1204 (UT)
Practice Information
- Address
-
142 SOUTH 50 EASTCOALVILLE, UT, 84107Browse UT providers · Browse ZIP 84107
- Phone
- 4353364403
- Fax
- 4353365570
- Primary Specialty
-
Family Medicine
207Q00000X
- Additional Specialty
- Family Medicine
Other Family Medicine Providers in COALVILLE, UT
| Name | Credential | NPI |
|---|---|---|
| DONALD WAIN ALLEN | MD | 1942224050 |
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.