Individual
DAVID W. IRVINE
Active
Individual
DAVID W. IRVINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
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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