Laura Bird, Md, Llc

NPI 1083734610 - Family Medicine - 207Q00000X

NPI Details
NPI 1083734610
Enumeration Date 03/29/2007
Last Updated 07/01/2008
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name DAVID DAVID
Position OFFICE MANAGER
Phone (618) 288-0656
Fax (618) 288-0736
Practice Location
2704 N CENTER ST
MARYVILLE IL, 62062-5624, US
Phone (618) 288-0656
Fax (618) 288-0736
Business Location
2704 N CENTER ST
MARYVILLE IL, 62062-5624, US
Phone (618) 288-0656
Fax (618) 288-0736
Toxanomy
Taxonomy Code 207Q00000X
License State
License Number
Remove 1083734610 NPI Number
 

According to our database, Laura Bird, Md, Llc NPI is 1083734610, taxonomy code is 207Q00000X Laura Bird, Md, Llc physically located at 2704 N Center St, Maryville IL, 62062-5624. NPI Number 1033115704 has the healthcare provider type.

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1083734610 NPI number is provided on an as is basis without warranty of any kind. 1083734610 is maintained by the National Plan & Provider Enumeration System. The contents of Laura Bird, Md, Llc are for informational purposes only.