Individual
DR. PATRCIK IRVING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2701 17TH ST, ROCK ISLAND, IL 61201-5351
(309) 779-5000
Mailing address
2701 17TH ST, ROCK ISLAND, IL 61201-5351
(309) 779-5000
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
01541
IA
207P00000X
Emergency Medicine Physician
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2148452
—
IA
01
—
35073
BCWELLMARK TP
—
01
—
50516
IHS TP
—
01
—
94002
BCWELLMARK 7TH
—
01
—
94051
BCWELLMARK WEST
—
01
—
IA0101
JOHN DEERE
—
01
—
P00002829
RR MEDICARE
IA
Enumeration date
02/09/2006
Last updated
04/11/2008
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