Organization
KIRT BIERIG D O INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CYNTHIA M BIERIG R.N. (OFFICE MANAGER)
(580) 327-7842
Entity
Organization
Contact information
Practice address
410 4TH ST, SUITE A, ALVA, OK 73717-2372
(580) 327-7842
Mailing address
PO BOX 952, ALVA, OK 73717-0952
(580) 327-7842
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2013
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100094160 A
—
OK
05
—
100736170 A
—
OK
01
—
246721201
MEDICARE INDIVIDUAL PTAN
OK
01
—
600522385
MEDICARE PTAN
OK
01
—
DN3274
RAILROAD MEDICARE PTAN
—
Enumeration date
02/22/2007
Last updated
03/23/2015
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