Individual
DR. JOHN D IRVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
803 WEST MAIN, MOUNTAIN VIEW, AR 72560
(870) 269-9800
(870) 269-9614
Mailing address
PO BOX 106, MOUNTAIN VIEW, AR 72560-0106
(870) 269-9800
(870) 269-9614
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
E1421
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080188461
RAILROAD MEDICARE
AR
05
—
132376001
—
AR
01
—
17869000000
QUALCHOICE
AR
01
—
770223301
AR BREASTCARE
AR
Enumeration date
07/25/2006
Last updated
06/24/2010
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