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Individual
MR. DWIGHT L BIRKLEY
Active
Individual
MR. DWIGHT L BIRKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
001137
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10375
MIDLANDS CHOICE
—
01
—
28651
WELLMARK BCBS IOWA
IA
01
—
P00388037
MEDICARE RAILROAD
—
Enumeration date
01/23/2006
Last updated
11/16/2007
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