Individual
MR. TALON BIRD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAT, ATC, EMT
Contact information
Practice address
3870 STADIUM WAY DEPT 2701, OGDEN, UT 84408-2701
(801) 626-6000
Mailing address
374 E 5450 S APT E1, WASHINGTON TERRACE, UT 84405-6798
(801) 389-9744
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
6120804-4810
UT
Other
Enumeration date
01/19/2018
Last updated
01/19/2018
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