Individual
GERALD IRWIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
4150 N 108TH AVE STE 142, PHOENIX, AZ 85037-5467
(651) 318-2025
Mailing address
4150 N 108TH AVE STE 142, PHOENIX, AZ 85037-5467
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
765443
AZ
Other
Enumeration date
05/04/2026
Last updated
05/04/2026
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