Individual
DR. JOHN BRUCE IRWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
900 E OAK HILL AVE, KNOXVILLE, TN 37917-4522
(865) 545-8000
Mailing address
PO BOX 634706, CINCINNATI, OH 45263-0001
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
009436
TN
207P00000X
Emergency Medicine Physician
AI8782523
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0053596
BLUE CROSS
TN
05
—
3194238
—
TN
01
—
930003973
RAILROAD MEDICARE
TN
Enumeration date
05/24/2006
Last updated
08/09/2010
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