Individual provider · Type 1 NPI

Broderic D. Ivery

Rehabilitation Practitioner · North Las Vegas, NV

NPI number 1972844553 Active

About NPI 1972844553

Broderic D. Ivery's National Provider Identifier is 1972844553, issued on Mar 7, 2013. The primary taxonomy on file is Rehabilitation Practitioner (225400000X), and the practice location is in North Las Vegas, NV. The record was last updated on Mar 7, 2013.