Doctor Name: | TROY DONOVAN IVEY |
NPI Number: | 1194719088 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.O. |
License Number: | 02845 |
Business Practice Address: | 1525 W 5th St Storm Lake, IA - 505883027 |
Business Phone Number: | 7127325146 |
Business Fax Number: | 7127325060 |
Mailing Address: | 1525 W 5th St, P.o. Box 190 STORM LAKE |
State: | IA |
Postal Code: | 505883027 |
Phone Number: | 7127325146 |
Fax Number: | 7127325060 |
NPI Enumeration Date: | 09/07/2005 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 02845 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IA |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |