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Individual
STEPHEN BRIAN IRVIN
Active
Individual
STEPHEN BRIAN IRVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
200001493
NC
208D00000X
General Practice Physician
200001493
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
128N0
BCBS
NC
01
—
D9807
MEDCOST
NC
01
—
P00451050
RAILROAD MEDICARE
NC
Enumeration date
06/21/2005
Last updated
10/24/2008
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