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Individual

DR. SCOTT W IRVINE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
619 19TH ST S, OHB 251, BIRMINGHAM, AL 35249-1900
(205) 975-6077
Mailing address
1104 56TH ST S, BIRMINGHAM, AL 35222-4124
(205) 306-7832

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
65827
GA
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
29336
AL

Other

Enumeration date
11/13/2007
Last updated
12/22/2015
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