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Individual
THOMAS WALTER IRVING
Active
Individual
THOMAS WALTER IRVING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
8971
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000015855
MEDICARE
AL
01
—
051015855
BCBS
—
Enumeration date
05/17/2006
Last updated
09/05/2013
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