Individual
MR. HECTOR DAVID BIRD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1951 KIDWELL DR STE 101, VIENNA, VA 22182-3930
(571) 348-4721
Mailing address
1951 KIDWELL DR STE 101, VIENNA, VA 22182-3930
(571) 348-4721
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110009304
VA
363A00000X
Physician Assistant
PA9110058
FL
Other
Enumeration date
07/09/2015
Last updated
07/20/2023
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