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1942392931
WILLIAM M IRVIN
SAINT LOUIS, MO
NPI
1942392931
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2084P0805X Psychiatry & Neurology, Geriatric Psychiatry
(Licence: MO 2001010868)
Enumeration Date
2006-09-28
Last Update Date
2012-12-17
Business Address
-- WILLIAM M IRVIN MD
11477 OLDE CABIN RD STE 210
SAINT LOUIS, MO 63141-7129
Phone number: 314-997-5208
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Mailing Address
-- WILLIAM M IRVIN MD
11477 OLDE CABIN RD STE 210
CREVE COEUR, MO 63141-7129
Phone number: 314-997-5208
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