SAMUEL IRVINE JR., PA-C
Physician Assistant
Active
Individual
NPI: 1376590059
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physician Assistant - Surgical | 363AS0400X | No | PA-189 (AL) |
| Physician Assistant | 363A00000X | Yes | PA.189 (AL) |
Frequently Asked Questions
NPI 1376590059 is the National Provider Identifier for SAMUEL IRVINE JR., PA-C, a Physician Assistant provider located in Montgomery, AL. This NPI was enumerated on May 28, 2006.
SAMUEL IRVINE JR., PA-C practices at 454 TAYLOR RD, Montgomery, AL 36117.
Quick Facts
- NPI
- 1376590059
- Type
- Individual
- Enumerated
- May 28, 2006
- Last Updated
- May 23, 2024
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