| Richard A. Irvin, DO | |
|
2129 National Rd Wheeling WV 26003-5264 | |
| (304) 242-2303 | |
| (304) 242-4231 |
| Full Name | Richard A. Irvin, DO |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 2129 National Rd, Wheeling, West Virginia |
| Authorized Official Name and Position | Richard Alan Irvin (PHYSICIAN / OWNER) |
| Authorized Official Contact | 3042422303 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Richard A. Irvin, DO 2129 National Rd Wheeling WV 26003-5264 Ph: (304) 242-2303 | Richard A. Irvin, DO 2129 National Rd Wheeling WV 26003-5264 Ph: (304) 242-2303 |
| NPI Number | 1508339169 |
|---|---|
| Provider Enumeration Date | 01/07/2019 |
| Last Update Date | 01/07/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508339169 | NPI | - | NPPES |
| 0053352001 | Medicaid | WV | |
| 2310412 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | () | Primary |
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