WILLIAM M IRVIN

SAINT LOUIS, MO
NPI1942392931
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2084P0805X 
(Licence: MO  2001010868)
Enumeration Date2006-09-28
Last Update Date2012-12-17
Business Address
-- WILLIAM M IRVIN MD
11477 OLDE CABIN RD STE 210
SAINT LOUIS, MO 63141-7129
Phone number: 314-997-5208
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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