Individual
THOMAS WALTER IRVING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3401 MEDICAL PARK DR, BLDG 1 STE 102, MOBILE, AL 36693-3318
(251) 665-8060
(251) 665-8061
Mailing address
5320 HWY 90 SERVICE ROAD, MOBILE, AL 36619
(251) 602-1667
(251) 602-5660
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
8971
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000015855
MEDICARE
AL
01
—
051015855
BCBS
—
Enumeration date
05/17/2006
Last updated
09/05/2013
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