PETER IVERSEN

DAYTON, OH
NPI1770660540
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: OH  35.082331)
Enumeration Date2006-11-01
Last Update Date2007-07-08
Business Address
-- PETER IVERSEN
2611 WAYNE AVE
DAYTON, OH 45420-1833
Phone number: 937-258-0440
Mailing Address
-- PETER IVERSEN
2611 WAYNE AVE
DAYTON, OH 45420-1833
Phone number: