ETHAN IRVIN

ROBINS AFB, GA
NPI1538834619
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
Additional Taxonomies171000000X Military Health Care Provider
Enumeration Date2021-08-11
Last Update Date2023-07-28
Business Address
ETHAN IRVIN PHYSICIAN ASSISTANT
655 7TH ST BLDG 700
ROBINS AFB, GA 31098-2227
Phone number: 478-497-7569
Mailing Address
ETHAN IRVIN PHYSICIAN ASSISTANT
2803 MEDICAL CAMPUS DR
GOLDSBORO, NC 27531
Phone number: 919-722-1802
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