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Individual

MR. NEIL E. IRICK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD.

Contact information

Practice address
4212 N 16TH ST, PHOENIX, AZ 85016-5319
(602) 263-1511
(602) 263-1619
Mailing address
PO BOX 31001-0698, PASADENA, CA 91110-0698
(602) 263-1511
(602) 263-1619

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01023871A
IN
208VP0000X
Pain Medicine Physician
Primary
01023871A
IN

Other

Enumeration date
11/17/2006
Last updated
08/18/2011
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