Individual
DR. ROBERT WILLIAM IRWIN
Active
Individual
DR. ROBERT WILLIAM IRWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
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
Update your record
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