MALLORY IVERSON, PA-C

Physician Assistant

Active Individual
NPI: 1174147961

Practice Address

5121 S COTTONWOOD DR
BUILDING 2 STE 320
Murray, UT 84107

Phone: (801) 507-3380

Specialties

Specialty Code Primary License
Physician Assistant 363A00000X Yes 12106313-1206 (UT)

Frequently Asked Questions

NPI 1174147961 is the National Provider Identifier for MALLORY IVERSON, PA-C, a Physician Assistant provider located in Murray, UT. This NPI was enumerated on June 8, 2020.
MALLORY IVERSON, PA-C practices at 5121 S COTTONWOOD DR, BUILDING 2 STE 320, Murray, UT 84107.

Quick Facts

NPI
1174147961
Type
Individual
Enumerated
Jun 8, 2020
Last Updated
Oct 25, 2022

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