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Samuel Oliver Starke Irvine JR., PA-C
Physician Assistant in Montgomery, Alabama
NPI 1376590059

Samuel Oliver Starke Irvine JR. is a Physician Assistant based in Montgomery, AL. Samuel Oliver Starke Irvine JR. practices in Montgomery, AL and has the professional credentials of PA-C. The NPI Number for Samuel Oliver Starke Irvine JR. is 1376590059 and holds a License No. PA-189 (Alabama).

The current practice location address for Samuel Oliver Starke Irvine JR. is 454 Taylor Rd, Montgomery, AL and can be reached out via phone at 334-613-9000 and via fax at 334-532-0056.

Location: 454 Taylor Rd, Montgomery, AL, 36117-3563
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1376590059
Provider Name
Samuel Oliver Starke Irvine JR.
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
454 Taylor Rd, Montgomery, AL, 36117-3563
Phone Number
334-613-9000
Fax Number
334-532-0056
Provider Enumeration Date
05/28/2006
Last Update Date
06/15/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
009934027 05 AL
009989995 05 AL
009989985 05 AL
051001143 01 AL BLUE CROSS - 860 MONT RD
051001307 01 AL BLUE CROSS - 48 MED PARK
051001308 01 AL BLUE CROSS - 2660 10TH AV
institution
Provider Business Practice Location Address Details
Address
454 Taylor Rd
City
Montgomery
State
Alabama
Zip
36117-3563
Phone Number
334-613-9000
Fax Number
334-532-0056
person
Provider Business Mailing Address Details
Address
454 Taylor Rd
City
Montgomery
State
Alabama
Zip
36117-3563
Phone Number
334-613-9000
Fax Number
334-532-0056
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
-
Taxonomy
363A00000X
License No.
PA.189 (Alabama)
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
363AS0400X
License No.
PA-189 (Alabama)
Definition
Definition to come...
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