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Dr. Andrea Kay Irving, DO
General Practice Physician in Black Canyon City, Arizona
NPI 1780858878

Andrea Kay Irving is a General Practice Physician based in Gloucester, AZ. Andrea Kay Irving practices in Black Canyon City, AZ and has the professional credentials of DO. The NPI Number for Andrea Kay Irving is 1780858878 and holds a License No. R1055 (Arizona).

The current practice location address for Andrea Kay Irving is 19251 E Oasis Dr, Black Canyon City, AZ and can be reached out via phone at 623-374-0200.

Location: 19251 E Oasis Dr, Black Canyon City, AZ, K1V 2-E3
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1780858878
Provider Name
Andrea Kay Irving
Credential
DO
Provider Entity Type
Individual
Gender
Female
Address
19251 E Oasis Dr, Black Canyon City, AZ, K1V 2-E3
Phone Number
623-374-0200
Fax Number
Provider Enumeration Date
04/18/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
005207 01 AZ AZ STATE LICENSE NUMBER
R1055 01 AZ TRAINING PERMIT
institution
Provider Business Practice Location Address Details
Address
19251 E Oasis Dr
City
Black Canyon City
State
Arizona
Zip
85324-8878
Phone Number
623-374-0200
Fax Number
person
Provider Business Mailing Address Details
Address
19251 E Oasis Dr
City
Black Canyon City
State
Arizona
Zip
85324-8878
Phone Number
623-374-0200
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
-
Taxonomy
207V00000X
License No.
005207 (Arizona)
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
Gynecology
Taxonomy
207VG0400X
License No.
005207 (Arizona)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
R1055 (Arizona)
Definition
Definition to come...
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