Individual
DR. STEPHEN B IRVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
199 HOSPITAL DR, SUITE 7, GALAX, VA 24333-2454
(276) 236-5181
(276) 236-3297
Mailing address
240 BROOKFIELD LN, GALAX, VA 24333-3287
(276) 236-3145
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101-019282
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005623324
—
VA
05
—
005634504
—
VA
05
—
010027080
—
VA
Enumeration date
12/09/2005
Last updated
11/09/2008
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