Individual
MARY NONE BIRDSONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D,
Contact information
Practice address
3901 INDIAN SCHOOL RD NE APT A207, ALBUQUERQUE, NM 87110-3855
(505) 876-8366
Mailing address
PO BOX 250, 2111 LOBO CANYON RD, GRANTS, NM 87020-0250
(505) 876-8366
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
83-163
NM
Other
Enumeration date
06/20/2013
Last updated
06/20/2013
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