Individual
DAVID W. IRVINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
621 S NEW BALLAS RD, SUITE 5015-B, SAINT LOUIS, MO 63141-8232
(314) 567-5850
(314) 567-9169
Mailing address
PO BOX 843438, KANSAS CITY, MO 64184-3438
(314) 567-5850
(314) 567-9169
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
106129
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000684662
ANTHEM BCBS
MO
01
—
1386681138
HUMANA
MO
05
—
209074004
—
MO
01
—
273406555
MULTIPLAN/PHCS
MO
01
—
561508
HEALTHLINK
MO
01
—
615723400
DEPARTMENT OF LABOR
MO
01
—
7308358
AETNA
MO
Enumeration date
06/01/2006
Last updated
01/19/2011
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