Organization · Type 2 NPI
Greta M. Ivers, Md, PLLC
Health Service Clinic/Center · Phoenix, AZ
NPI number
1386033199
Active
Practice location
1825 East Northern Avenue, Suite 125
Phoenix, AZ 85020
Mailing address
9550 East Thunderbird Road, Unit 247
Scottsdale, AZ 85260
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Health Service Clinic/Center Primary | 261QH0100X | 47170 (AZ) |
Health Service Clinic/Center: Definition to come...
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About NPI 1386033199
Greta M. Ivers, Md, PLLC's National Provider Identifier is 1386033199, issued on Jan 16, 2015. The primary taxonomy on file is Health Service Clinic/Center (261QH0100X), and the practice location is in Phoenix, AZ. The record was last updated on Feb 24, 2015.