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FLORENCE C. IRVINE M.D.

Psychiatry >> Psychiatry & Neurology >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1679874861

Individual Registrant:
 FLORENCE C. IRVINE M.D.
Gender: F
Sole Proprietor

Location and contact information for practice:
15525 ELK MOUNTAIN ROAD  UPPER LAKE, CA 95485 US
Tel: 707-275-0903  Fax: --

Contact information for business:
P.O. BOX 204 15525 ELK MOUNTAIN ROAD UPPER LAKE, CA 95485 US
Tel: 707-275-0903  Fax: --

Registration Information:
NPI: 1679874861
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y2084P0800XAllopathic & Osteopathic Physicians
Psychiatry & Neurology
Psychiatry
CAG11335

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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