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

Richard Blaine Iverson, DO

Individual provider Anatomic Pathology & Clinical Pathology Physician · NPI 1568788602

Richard Blaine Iverson, DO is a Pathology in Ogden, Utah. Graduated from Lake Erie College of Osteopathic Medicine, Erie in 2007, 19 years ago. Practices with Professional Diagnostics, a 2-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
19
Trained at
Lake Erie College of Osteopathic Medicine, Erie
Licensed in
UT
In the registry since
2010
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

4401 Harrison Blvd
Ogden, UT 84403-3195
Phone: (801) 387-2800
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1050 E South Temple, Salt Lake City, UT 84102-1507 — (801) 350-4734

Specialties & licences

Anatomic Pathology & Clinical Pathology Physician (primary) Taxonomy 207ZP0102X · Licence 8199146-1204 (UT)

Record details

NPI number1568788602
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedApril 14, 2010
Last updated in NPPESNovember 17, 2025
Certification dateNovember 17, 2025

Medicare enrollment

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

Medicare specialtyPATHOLOGY
Medical schoolLAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE, ERIE
Graduated 2007 (19 years in practice)
Group practice Professional Diagnostics — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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