Healthcare Provider Details

I. General information

NPI: 1952147696
Provider Name (Legal Business Name): DR MCIVER MD PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/02/2024
Last Update Date: 08/31/2024
Certification Date: 08/31/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1635 FOXTRAIL DR # 118
LOVELAND CO
80538-9086
US

IV. Provider business mailing address

1635 FOXTRAIL DR
LOVELAND CO
80538-9086
US

V. Phone/Fax

Practice location:
  • Phone: 970-236-8747
  • Fax: 562-261-1036
Mailing address:
  • Phone: 970-236-8747
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080P0205X
TaxonomyPediatric Endocrinology Physician
License Number
License Number State

VIII. Authorized Official

Name: HARKIRTIN MCIVER
Title or Position: PRESIDENT
Credential:
Phone: 970-236-8747