Individual
DR. CHARLES F IRWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10431 PATTERSON AVE, RICHMOND, VA 23238-5101
(804) 741-6200
(804) 741-6213
Mailing address
7229 FOREST AVE, SUITE 208, RICHMOND, VA 23226-3765
(804) 281-0271
(804) 521-9367
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
0101027771
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080188105
MEDICARE RAILROAD
VA
01
—
292417
ANTHEM
VA
Enumeration date
02/02/2006
Last updated
11/25/2009
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