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Individual

DR. GORDON TROY BIRK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1900 MALVERN AVE, SUITE 301, HOT SPRINGS, AR 71901-7759
(501) 321-0555
(501) 623-1521
Mailing address
1900 MALVERN AVE, SUITE 301, HOT SPRINGS, AR 71901-7759
(501) 321-0555
(501) 623-1521

Taxonomy

Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
25289
AL
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
E5044
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
163783001
AR
Enumeration date
08/29/2006
Last updated
10/20/2020
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