Andrew Irvine

NPI #1013586700 in Shreveport, Louisiana

Provider Information

NPI Number: 1013586700
Entity Type: Individual
Name: Andrew Irvine
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Jun 18, 2021
Last Updated: Jun 18, 2021

Practice Location

Address: 1501 KINGS HWY
City: Shreveport
State: Louisiana
ZIP Code: 71103-4228
Phone: (318) 626-0434

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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