Individual
DR. ROBERT BRYSON IRWIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4428 S EASON BLVD, STE 1, TUPELO, MS 38801-6506
(662) 844-5080
(662) 680-6958
Mailing address
PO BOX 169, TUPELO, MS 38802-0169
(662) 844-5080
(662) 680-6958
Taxonomy
Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
Primary
08362
MS
Other
Enumeration date
03/22/2007
Last updated
07/09/2007
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