Individual
DR. DENNIS RICHARD BIRD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPH
Contact information
Practice address
2028 MAHANEY AVE, TAHLEQUAH, OK 74464-5783
(918) 431-0555
(918) 431-0316
Mailing address
PO BOX 1246, TAHLEQUAH, OK 74465-1246
(918) 456-8534
(918) 456-1323
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
8306
OK
Other
Enumeration date
10/29/2006
Last updated
07/08/2007
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