Provider Demographics
NPI:1912969205
Name:BIRD, DAVID ROBERT (MPAS, PA-C)
Entity Type:Individual
Prefix:MR
First Name:DAVID
Middle Name:ROBERT
Last Name:BIRD
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Gender:M
Credentials:MPAS, PA-C
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Mailing Address - Street 1:BLDG 1145 STURGIS STREET
Mailing Address - Street 2:NAVAL HOSPITAL ATTN PROFESSIONAL AFFAIRS
Mailing Address - City:TWENTYNINE PALMS
Mailing Address - State:CA
Mailing Address - Zip Code:92278-8250
Mailing Address - Country:US
Mailing Address - Phone:760-939-0685
Mailing Address - Fax:760-939-0400
Practice Address - Street 1:BLDG 1145 STURGIS STREET
Practice Address - Street 2:NAVAL HOSPITAL ATTN PROFESSIONAL AFFAIRS
Practice Address - City:TWENTYNINE PALMS
Practice Address - State:CA
Practice Address - Zip Code:92278-8250
Practice Address - Country:US
Practice Address - Phone:760-939-0685
Practice Address - Fax:760-939-0400
Is Sole Proprietor?:No
Enumeration Date:2006-04-04
Last Update Date:2007-07-08
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant