# ROBERT D IRVINE, MD, INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023342169
- **Authorized official:** ROBERT DAILEY IRVINE M.D. (PRESIDENT)
- **Authorized official phone:** (808) 935-5465

## Contact information

- **Practice address:** 670 PONAHAWAI ST, STE 115, HILO, HI 96720-2660
- **Practice address phone:** (808) 935-5465
- **Practice address fax:** (808) 935-5467
- **Mailing address:** 670 PONAHAWAI ST, STE 115, HILO, HI 96720-2660
- **Mailing address phone:** (808) 935-5465
- **Mailing address fax:** (808) 935-5467

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | MD2284 | HI | Yes |

## Other

- **Enumeration date:** 09/22/2009
- **Last updated:** 09/22/2009