NPI 1497813141

Mark Ivey Jr MD PC

Organisation Family Medicine Physician Payson, AZ

Practice location

Address: 1106 N Beeline Hwy, Payson, AZ 85541-3714
Phone: (928) 474-8901
Fax: (928) 474-8947
Mailing address: PO Box 129, Payson, AZ 85547-0129

Authorised official

Name: Mark Ivey
Title: Owner
Phone: (928) 474-8901

Registered specialties

Family Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence 10659 (AZ)

Other Family Medicine providers in Arizona →

Registry record

NPI: 1497813141
Entity type: Organization
NPI issued: 5 Dec 2006
Record last updated: 22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.