Individual
SAMUEL IRVING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
3901 S 7TH ST, TERRE HAUTE, IN 47802-5709
(630) 776-4711
Mailing address
1978 W 9640 S, SOUTH JORDAN, UT 84095-9365
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
28247851A
IN
Other
Enumeration date
10/05/2018
Last updated
05/20/2019
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