Individual
DR. PATRCIK IRVING
Active
Individual
DR. PATRCIK IRVING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
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
Update your record
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