Individual
DR. ROBERT WILLIAM IRWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1834 E INNOVATION PARK DR, ORO VALLEY, AZ 85755-1963
(520) 825-9656
(520) 818-2525
Mailing address
1834 E INNOVATION PARK DR, ORO VALLEY, AZ 85755-1963
(520) 825-9656
(520) 818-2525
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
28417
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110209395
MEDICARE RR
AZ
01
—
1Z7681
HEALTHNET ID
AZ
01
—
28417
STATE LICENSE #
AZ
01
—
861002294
DESERT SAGE TAX ID#
AZ
01
—
86100229485739A002
CHAMPUS ID
AZ
01
—
AZ04553
MCARE SUB ID
AZ
01
—
AZ0877220
BLUE CROSS ID
AZ
Enumeration date
08/10/2006
Last updated
11/08/2010
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