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Individual

JOHN ALEXANDER IRVINE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
G59884
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
006598840
BLUE SHIELD
CA
05
006598840
CA
01
180037512
MEDICARE RAILROAD
CA
Enumeration date
12/15/2006
Last updated
01/29/2025
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