Organization
IRVIN MEDICAL CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL IRVIN D.O. (OWNER)
(580) 317-9000
Entity
Organization
Contact information
Practice address
1001 E JACKSON ST, HUGO, OK 74743-4225
(580) 317-9000
Mailing address
1001 E JACKSON ST, HUGO, OK 74743-4225
(580) 317-9000
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
83065
OK
Other
Enumeration date
03/13/2015
Last updated
03/17/2015
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