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

Mallory Iverson, PA-C

Individual provider Physician Assistant · NPI 1174147961

Mallory Iverson, PA-C is a Physician Assistant in Murray, Utah. Qualified in 2020, 6 years ago. Practices with Ihc Health Services Inc, a 3,947-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Idaho and Utah.

Years since qualifying
6
Licensed in
ID, UT
In the registry since
2020
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

5121 S Cottonwood Dr Bldg 2 Ste 320
Murray, UT 84107
Phone: (801) 507-3380
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3277 E Louise Dr Ste 100, Meridian, ID 83642-9360 — (208) 706-5217

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 12106313-1206 (UT)
Physician Assistant Taxonomy 363A00000X · Licence PA-2213 (ID)

Record details

NPI number1174147961
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJune 8, 2020
Last updated in NPPESOctober 25, 2022
Certification dateOctober 25, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Ihc Health Services Inc — 3947 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations9 on file with Medicare

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