DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SAMUEL OLIVER STARKE IRVINE JR., PA-C

Active

SAMUEL OLIVER STARKE IRVINE JR., PA-C is a Physician Assistant healthcare provider located in MONTGOMERY, Alabama. NPI 1376590059 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · MONTGOMERY, AL

Registration Details

NPI Number
1376590059
Provider Type
Individual
Gender
Male
NPI Issued
May 28, 2006 (20.068955854449 yrs)
Last Updated
May 23, 2024
Licenses
PA-189 (AL)
PA.189 (AL)

Practice Information

Address
454 TAYLOR RD
MONTGOMERY, AL, 361173563
Browse AL providers · Browse ZIP 36117
Phone
3346139000
Fax
3345320056
Primary Specialty
Physician Assistant
363A00000X
Additional Specialty
Physician Assistant

Other Physician Assistant Providers in MONTGOMERY, AL

Name Credential NPI
MR. EDWIN LANAR PHILLIPS PA C 1356341325
LYDIA LANE JACKSON PA C 1487642161
JIMMY L CLEVELAND PA 1639137292
LEIA MARLENA THORNTON PAC 1376597518
DERRICK MICHAEL JOHNSON PA-C 1588784565
MRS. ELLEN SHEA BURCH-BURKHALTER PA-C 1154570760
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.