Individual
DR. MARIEL BIRD
Active
Individual
DR. MARIEL BIRD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
006424
AZ
207N00000X
Dermatology Physician
Primary
34.012984
OH
208D00000X
General Practice Physician
UO2494
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Z166728
MEDICARE PTAN
AZ
Enumeration date
08/13/2010
Last updated
02/18/2020
Update your record
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