Whalio Doctors

NPI 1972561272

Torey Sue Ivanic, PAC

Practitioner Physician Assistant Exeter, CA

Practice location

Address
330 E Pine St, Exeter, CA 93221-1838
Phone
(559) 592-2134
Fax
(559) 592-5017

Registered specialties

Physician Assistant Primary
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence PA17060 (CA)

Registry record

NPI
1972561272
Entity type
Individual
Sex (as registered)
Female
NPI issued
3 May 2006
Record last updated
9 Feb 2012

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.