| NPI Details | |
|---|---|
| NPI | 1184716763 |
| Gender | Male |
| Enumeration Date | 09/29/2006 |
| Last Updated | 09/10/2010 |
| Entity Type | Individual |
| Active | Over 11 years ago |
| Practice Location | |
|---|---|
| 315 MARTIN LUTHER KING JR WAY TACOMA WA, 98405, US |
|
| Phone | (253) 403-1425 |
| Fax | |
| Business Location | |
|---|---|
| PO BOX 5299 TACOMA WA, 98415-0299, US |
|
| Phone | (253) 403-1425 |
| Fax | |
| Toxanomy | |
|---|---|
| Taxonomy Code | 208000000X |
| License State | Washington |
| License Number | MD00043209 |
| Remove 1184716763 NPI Number | |
According to our database, Robert G Irwin MD NPI is 1184716763, taxonomy code is 208000000X and license number is MD00043209, license state is located at Washington. Robert G Irwin MD physically located at 315 Martin Luther King Jr Way, Tacoma WA, 98405. NPI Number Robert G Irwin MD has the Individual type.
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1184716763 NPI number is provided on an as is basis without warranty of any kind. 1184716763 is maintained by the National Plan & Provider Enumeration System. The contents of Robert G Irwin MD are for informational purposes only.
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