Individual
WILLIAM M IRVIN JR.
Active
Individual
WILLIAM M IRVIN JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2084P0805X
Geriatric Psychiatry Physician
Primary
2001010868
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1530953
UNITED HEALTHCARE
—
01
—
158049
BLUE CROSS BLUE SHIELD
—
05
—
205866304
—
MO
01
—
484342
HEALTHLINK
—
01
—
P00049380
RR MEDICARE
—
Enumeration date
09/28/2006
Last updated
12/17/2012
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