Individual provider · Type 1 NPI
Robert Bryson Irwin, MD
Allergy Physician · Tupelo, MS
NPI number
1174640643
Active
Practice location
4428 S Eason Blvd, Ste 1
Tupelo, MS 38801-6506
Fax (662) 680-6958
Mailing address
PO Box 169
Tupelo, MS 38802-0169
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Allergy Physician Primary | 207KA0200X | 08362 (MS) |
Allergy Physician: A physician who specializes in the diagnosis, treatment, and management of allergies.
About NPI 1174640643
Robert Bryson Irwin, MD's National Provider Identifier is 1174640643, issued on Mar 22, 2007. The primary taxonomy on file is Allergy Physician (207KA0200X), and the practice location is in Tupelo, MS. The record was last updated on Jul 9, 2007.