Richard B Iverson
PROFESSIONAL DIAGNOSTICS


Address: 1050 E S Temple, Salt Lake City, UT 84102-1507
Phone: 8013504851

Richard B Iverson (NPI# 1568788602, PAC ID# 7113175209) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PATHOLOGY.

Physician Overview

Nation Provider ID (NPI) 1568788602
PAC ID by PECOS 7113175209
Professional Enrollment ID I20120914000211
Full Name Richard B Iverson
Organization Legal Name PROFESSIONAL DIAGNOSTICS
Address 1050 E S Temple
Salt Lake City
UT 84102-1507
Phone Number 8013504851
Gender M
Medical School LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE
Graduation Year 2007
Primary Specialty PATHOLOGY
Group Practice PAC ID 0648202820
Number of Group Practice Members 5
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
460003 SALT LAKE REGIONAL MEDICAL CENTER
460051 JORDAN VALLEY MEDICAL CENTER

Other Locations

Address Phone Organization
1050 E S Temple, Salt Lake City, UT 84102-1507 8013504851 PROFESSIONAL DIAGNOSTICS

Organization Information

Organization Legal Name PROFESSIONAL DIAGNOSTICS
Physicians 4

Physicians with the same organization

Name Specialty Organization Address
David Fjeldsted Pathology Professional Diagnostics 3580 W 9000, Jordan Valley Hospital, West Jordan, UT 84088-8812
Neil L Jorgensen Pathology Professional Diagnostics 3580 W 9000, Jordan Valley Hospital, West Jordan, UT 84088-8812
David A Gallegos Pathology Professional Diagnostics 1050 E S Temple, Salt Lake City, UT 84102-1507

Office Location

Street Address 1050 E S TEMPLE
City SALT LAKE CITY
State UT
Zip 84102-1507

Physicians in the same location

Name Specialty Organization Address
William R Smith Certified Registered Nurse Anesthetist (crna) Alpine Medical Group 1050 E S Temple, Salt Lake City, UT 84102-1507
Clyn A Robinson Anesthesiology Alpine Medical Group 1050 E S Temple, Salt Lake City, UT 84102-1507
Tammy K Park Emergency Medicine Emergency Physicians Integrated Care LLC 1050 E S Temple, Salt Lake City, UT 84102-1507
Julie A Roberts-morris Anesthesiology Alpine Medical Group 1050 E S Temple, Salt Lake City, UT 84102-1507
Michael W Mangelson Urology Ihc Health Services Inc 1050 E S Temple, Salt Lake City, UT 84102-1507
John A Silverman Emergency Medicine Emergency Physicians Integrated Care LLC 1050 E S Temple, Salt Lake City, UT 84102-1507
Richard Bart Johansen Emergency Medicine Emergency Physicians Integrated Care LLC 1050 E S Temple, Salt Lake City, UT 84102-1507
Matthew David Wolfe Emergency Medicine Emergency Physicians Integrated Care LLC 1050 E S Temple, Salt Lake City, UT 84102-1507
John Caplette Certified Registered Nurse Anesthetist (crna) Alpine Medical Group 1050 E S Temple, Salt Lake City, UT 84102-1507
Layhong Soth Internal Medicine Santibanez Aguirre Slc PC 1050 E S Temple, Salt Lake City, UT 84102-1507
Find all physicians in the same address

Physicians in the same zip code

Name Specialty Organization Address
Amy N De La Garza Family Medicine 77 S 700, Suite 220, Salt Lake City, UT 84102-1162
Charles Ty Nuttall Clinical Social Worker 699 E S Temple, Suite 300, Salt Lake City, UT 84102-1186
Darren F Groberg Podiatry Utah Podiatric Physicians and Surgeons Group LLC 144 S 700, Salt Lake City, UT 84102-1357
Daniel Preece Podiatry Utah Podiatric Physicians and Surgeons Group LLC 144 S 700, Salt Lake City, UT 84102-1357
Steven R Taylor Otolaryngology Intermountain Ear Nose and Throat Specialists LLC 22 S 900, Salt Lake City, UT 84102-1394
Kian Eftekhari Ophthalmology Intermountain Ear Nose and Throat Specialists LLC 22 S 900, Salt Lake City, UT 84102-1394
Balimar B Lindgren Nurse Practitioner Santibanez Aguirre PC 165 S 1000, Salt Lake City, UT 84102-1402
Edwin Awinda Nurse Practitioner Santibanez Aguirre PC 165 S 1000, Salt Lake City, UT 84102-1402
Bernard M Mutie Nurse Practitioner Santibanez Aguirre PC 165 S 1000, Salt Lake City, UT 84102-1402
Nathan Michael Hastings Hospitalist Santibanez Aguirre PC 165 S 1000, Salt Lake City, UT 84102-1402
Find all physicians in zip 84102

Competitor

Search similar physicians

City SALT LAKE CITY
Zip Code 84102
Specialty PATHOLOGY
City + Specialty SALT LAKE CITY + PATHOLOGY

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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