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NPI Code Detail

MEDICARE: PALOMA BELLE IRIZARRY MD

MEDICARE:   PALOMA BELLE IRIZARRY  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Y00000XOtolaryngology PhysicianME152378FL
2207Y00000XOtolaryngology Physician31020NE

General Provider Information

NPI Number : 1881134658
Entity Type Code : Individual
Provider Name (Legal Business Name) : PALOMA BELLE IRIZARRY MD
Provider Business Mailing Address
First Line : 650 JOEL DR
Second Line :
City : FORT CAMPBELL
State : KY
Zip : 42223-8355
Country : US
Telephone Number : 270-798-4677
Fax Number :
Provider Business Practice Location Address
First Line : 650 JOEL DR
Second Line :
City : FORT CAMPBELL
State : KY
Zip : 42223-5318
Country : US
Telephone Number : 702-798-8131
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/27/2017
Last Update Date : 06/25/2026

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Directions to “ PALOMA BELLE IRIZARRY MD” Practice Location

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