Mr. Broderic D Ivery
Mr. Broderic D Ivery is a Rehabilitation Practitioner in North las Vegas, Nevada. Practices as a sole proprietor. Licensed in Nevada.
- Licensed in
- NV
- In the registry since
- 2013
Practice location Address checks out
1915 Ona Marie AveNorth las Vegas, NV 89032-4866
Phone: (702) 812-4973
Fax: (702) 631-6312
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Specialties & licences
| Rehabilitation Practitioner (primary) | Taxonomy 225400000X (NV) |
|---|
Record details
| NPI number | 1972844553 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | March 7, 2013 |
| Last updated in NPPES | March 7, 2013 |
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