Organization · Type 2 NPI
Larry D Iversen MD Ltd PS
Specialist · Bremerton, WA
NPI number
1295854123
Active
Practice location
840 Callahan Dr, Suite C
Bremerton, WA 98310-3378
Fax (360) 479-0877
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | MD00012070 (WA) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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About NPI 1295854123
Larry D Iversen MD Ltd PS's National Provider Identifier is 1295854123, issued on Mar 29, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Bremerton, WA. The record was last updated on Nov 19, 2007.