Individual
MRS. DEANA IRVINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LM, CPM
Contact information
Practice address
20 EAST CHERRY AVENUE, FLAGSTAFF, AZ 86001
(928) 779-6064
Mailing address
1702 N MAIN STREET, FLAGSTAFF, AZ 86004
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
LM135
AZ
Other
Enumeration date
05/03/2007
Last updated
07/08/2007
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