Individual
DAVID A BIRNBAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
535 S HUMBOLDT ST, BATTLE MOUNTAIN, NV 89820-1988
(775) 635-2550
(775) 635-2437
Mailing address
535 S HUMBOLDT ST, BATTLE MOUNTAIN, NV 89820-1988
(775) 635-2550
(775) 635-2437
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
96-16
NM
207QS0010X
Sports Medicine (Family Medicine) Physician
96-16
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
29507367
—
NM
Enumeration date
06/30/2005
Last updated
09/16/2020
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