person
Richard Lewis Irving III, MHS,PA-C
Medical Physician Assistant in Philadelphia, Pennsylvania
NPI 1396787917

Richard Lewis Irving III is a Medical Physician Assistant based in Philadelphia, PA and is specialized in Medical. Richard Lewis Irving III practices in Philadelphia, PA and has the professional credentials of MHS,PA-C. The NPI Number for Richard Lewis Irving III is 1396787917 and holds a License No. 0010-00728 (Pennsylvania).

The current practice location address for Richard Lewis Irving III is 3401 N Broad St, Philadelphia, PA and can be reached out via phone at 215-707-3133 and via fax at 215-707-3945. You can also correspond with Richard Lewis Irving III through the mailing address at 2450 W HUNTING PARK AVE, PHILADELPHIA, PA - 19129-1302 (mailing address contact number: 215-707-8561).

Location: 3401 N Broad St, Philadelphia, PA, 19129-1302
person
Provider Profile Details
NPI Number
1396787917
Provider Name
Richard Lewis Irving III
Credential
MHS,PA-C
Provider Entity Type
Individual
Gender
Male
Address
3401 N Broad St, Philadelphia, PA, 19129-1302
Phone Number
215-707-3133
Fax Number
215-707-3945
Provider Enumeration Date
06/11/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0476PA 05 SC
institution
Provider Business Practice Location Address Details
Address
3401 N Broad St
City
State
Zip
19140-5103
Phone Number
215-707-3133
Fax Number
215-707-3945
person
Provider Business Mailing Address Details
Address
3401 N Broad St
City
State
Zip
19140-5103
Phone Number
215-707-3133
Fax Number
215-707-3945
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
MA052325 (Pennsylvania)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
0010-00728 (North Carolina)
Definition
Definition to come...
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