Individual
VANNA KAY IRVING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
550 W HWY 50, SALIDA, CO 81201-2238
(719) 530-2022
(719) 539-2375
Mailing address
550 W HWY 50, SALIDA, CO 81201-2238
(195) 302-0227
(719) 539-2375
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2015-01300
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/10/2012
Last updated
02/16/2021
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