Organization
HILLSIDE MEDICAL GROUP, P.A.
Active
Other names
Osteopathic Clinic, P.A.
Organization subpart
No
Provider details
NPI number
Authorized official
ALVIN D BIRD M.D. (PRESIDENT)
(620) 221-0110
Entity
Organization
Contact information
Practice address
1700 E 9TH AVE, WINFIELD, KS 67156-3220
(620) 221-0110
(620) 221-0623
Mailing address
1700 E 9TH AVE, WINFIELD, KS 67156-3220
(620) 221-0110
(620) 221-0623
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
208D00000X
General Practice Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110252
BC/BS
KS
Enumeration date
06/09/2006
Last updated
09/21/2009
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