Individual
JEREMY BIRD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2501 N STOCKTON HILL RD STE 108, KINGMAN, AZ 86401-4140
(928) 255-5050
(888) 571-5897
Mailing address
2501 N STOCKTON HILL RD STE 108, KINGMAN, AZ 86401-4140
(928) 255-5050
(888) 571-5897
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
7809
AZ
Other
Enumeration date
03/06/2020
Last updated
11/20/2025
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