LARRY D IVERSEN MD LTD PS

BREMERTON, WA
NPI1295854123
Entity TypeOrganization
Authorized ContactLARRY D IVERSEN
Owner
360-479-2525
Organization Subpart ?No
Primary Taxonomy174400000X Specialist
(Licence: WA  MD00012070)
Enumeration Date2007-03-29
Last Update Date2007-11-19
Business Address
LARRY D IVERSEN MD LTD PS
840 CALLAHAN DR SUITE C
BREMERTON, WA 98310-3378
Phone number: 360-479-2525
Mailing Address
LARRY D IVERSEN MD LTD PS
840 CALLAHAN DR SUITE C
BREMERTON, WA 98310-3378
Phone number: 360-479-2525
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