Individual
STEPHEN EDWARD IRWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
317 NORTH ELEVENTH STREET, SUNBURY, PA 17801
(570) 286-1631
(570) 286-0595
Mailing address
317 NORTH ELEVENTH STREET, SUNBURY, PA 17801
(570) 286-1631
(570) 286-0595
Taxonomy
Speciality
Code
Description
License number
State
1223P0106X
Oral and Maxillofacial Pathology Dentistry
DA01718A
PA
1223P0106X
Oral and Maxillofacial Pathology Dentistry
Primary
DS017218L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10402
GEISINGER HEALTH PLAN
PA
01
—
50010670
CAPITAL BLUE CROSS
PA
Enumeration date
07/05/2006
Last updated
07/08/2007
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