Individual
JOHN BIRDSONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1913 HANDLEY DR, EL RENO, OK 73036-4238
(405) 570-5102
Mailing address
1913 HANDLEY DR, EL RENO, OK 73036-4238
(405) 570-5102
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
03/11/2015
Last updated
07/11/2022
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