Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

John Iverson

Individual provider Medical Physician Assistant · NPI 1467864470

John Iverson is a Medical Physician Assistant in Prescott, Arizona. Practices as a sole proprietor. Licensed in Arizona.

Licensed in
AZ
In the registry since
2014

Practice location Address checks out

743 Miller Valley Rd
Prescott, AZ 86301-1813
Phone: (928) 777-9600
Fax: (928) 777-9797
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 6073 (AZ)

Record details

NPI number1467864470
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMay 24, 2014
Last updated in NPPESJanuary 10, 2023
Certification dateJanuary 10, 2023
Mailing address743 Miller Valley Rd, Prescott, AZ 86301-1813

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