Individual
MR. PHILIP BLACKBURN IRWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P. A.
Contact information
Practice address
1601 SW ARCHER RD, #112, GAINESVILLE, FL 32608-1135
(352) 376-1611
Mailing address
353 NW EESTAULKEE AVE, P. O. BOX 678, MICANOPY, FL 32667-4068
(352) 466-3862
(352) 379-7492
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA3387
FL
Other
Enumeration date
03/21/2006
Last updated
07/08/2007
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