Individual
DR. MARK D IRVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1111 MEDICAL CENTER CIR, MAYFIELD, KY 42066-1194
(270) 247-8100
(270) 247-7780
Mailing address
1111 MEDICAL CENTER CIR, MAYFIELD, KY 42066-1194
(270) 247-8100
(270) 247-7780
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
28030
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64280308
—
KY
Enumeration date
05/24/2005
Last updated
08/08/2007
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