Individual provider · Type 1 NPI

Stephen Brooks Irvin, PA-C

Medical Physician Assistant · Winston Salem, NC

NPI number 1962734442 Active

Practice location

1834 Wake Forest Rd
Winston Salem, NC 27109-6000

Mailing address

PO Box 7386
Winston Salem, NC 27109-6233

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X0010-02196 (NC)

Medical Physician Assistant: Definition to come...

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About NPI 1962734442

Stephen Brooks Irvin, PA-C's National Provider Identifier is 1962734442, issued on Feb 8, 2010. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Winston Salem, NC. The record was last updated on Apr 28, 2017.