Whalio Doctors

NPI 1174640643

Robert Bryson Irwin, MD

Practitioner Allergy Physician Tupelo, MS

Practice location

Address
4428 S Eason Blvd STE 1, Tupelo, MS 38801-6506
Phone
(662) 844-5080
Fax
(662) 680-6958
Mailing address
PO Box 169, Tupelo, MS 38802-0169

Registered specialties

Allergy Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207KA0200X Licence 08362 (MS)

Registry record

NPI
1174640643
Entity type
Individual
Sex (as registered)
Male
NPI issued
22 Mar 2007
Record last updated
9 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.