Individual
TAYLOR BIRD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
740 S WOODRUFF AVE, IDAHO FALLS, ID 83401-5285
(208) 542-9111
Mailing address
740 S WOODRUFF AVE, IDAHO FALLS, ID 83401-5285
(208) 542-9111
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
11/28/2024
Last updated
04/22/2025
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