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Individual
DR. TRICIA BIRDWELL
Active
Individual
DR. TRICIA BIRDWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
12858
SD
207Q00000X
Family Medicine Physician
A89563
CA
207Q00000X
Family Medicine Physician
M-15867
ID
Other
Enumeration date
09/20/2006
Last updated
05/28/2024
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