Individual
JOHN JEREMY IRVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 N ACADEMY AVE, DANVILLE, PA 17822-5033
(570) 271-6369
(570) 271-5840
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-4903
(570) 271-6144
(570) 271-6578
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
27810
OK
2086S0129X
Vascular Surgery Physician
Primary
MD462893
PA
Other
Enumeration date
06/14/2010
Last updated
05/02/2024
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