Dr EVAN D IVIE is a male medical professional, specializing in Physician Assistant. He graduated in 2014.
SIMPSON DERMCARE AND FAMILY MEDICINE PLLC
3456 E 17TH ST
SUITE 190
AMMON
ID
834066749
Tel: 2085242222
| Npi | 1558765891 |
| Pac Id | 9537483656 |
| Professional Enrollment Id | I20151106000356 |
| Last Name | IVIE |
| First Name | EVAN |
| Middle Name | D |
| Suffix | |
| Gender | M |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 2014 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
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| Organization Legal Name | SIMPSON DERMCARE AND FAMILY MEDICINE PLLC |
| Group Practice Pac Id | 1355656307 |
| Number Of Group Practice Members | 4 |
| Line 1 Street Address | 3456 E 17TH ST |
| Line 2 Street Address | SUITE 190 |
| Marker Of Address Line 2 Suppression | |
| City | AMMON |
| State | ID |
| Zip Code | 834066749 |
| Phone Number | 2085242222 |
| Hospital Affiliation Ccn 1 | 130065 |
| Hospital Affiliation Lbn 1 | MOUNTAIN VIEW HOSPITAL |
| Hospital Affiliation Ccn 2 | |
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| Professional Accepts Medicare Assignment | Y |
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