Individual
DR. ROBB D. MCILVRIED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
100 N ACADEMY AVE, DANVILLE, PA 17822-1401
(570) 271-6164
(570) 271-6141
Mailing address
100 N ACADEMY AVE, CREDENTIALS DEPT, DANVILLE, PA 17822-4903
(570) 271-6144
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD069237L
PA
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
MD069237L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0018627810001
—
PA
Enumeration date
04/06/2006
Last updated
03/18/2022
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