Organization
BIRD'S EYE WISDOM PLLC
Active
Organization
BIRD'S EYE WISDOM PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROLINE RUCKER (OWNER)
(404) 984-4256
Entity
Organization
Contact information
Practice address
4601 N VIA ENTRADA APT 1051, TUCSON, AZ 85718-5871
(404) 984-4256
Mailing address
4601 N VIA ENTRADA APT 1051, TUCSON, AZ 85718-5871
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
06/20/2024
Last updated
06/20/2024
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