Individual
DR. THOMAS LEE IRVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
401 PHALEN BLVD, SAINT PAUL, MN 55130-5302
(651) 254-7800
Mailing address
546 W FIVE NOTCH RD, NORTH AUGUSTA, SC 29860-9363
(803) 279-0186
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
65461
GA
207RR0500X
Rheumatology Physician
Primary
74251
MN
207RR0500X
Rheumatology Physician
G7933
TX
Other
Enumeration date
01/26/2006
Last updated
06/20/2023
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