Individual
BRIAN BIRD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11649 S 4000 W STE 200, SOUTH JORDAN, UT 84009-6048
(801) 253-3080
Mailing address
11649 S 4000 W STE 200, SOUTH JORDAN, UT 84009-6048
(801) 253-3080
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
13983608-1205
UT
Other
Enumeration date
03/26/2020
Last updated
10/02/2024
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