Individual
ORRY CARLISLE BIRDSONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8416 E SHEA BLVD STE C-101, SCOTTSDALE, AZ 85260-6666
(480) 483-3937
(480) 483-8813
Mailing address
8416 E SHEA BLVD STE C-101, SCOTTSDALE, AZ 85260-6666
(480) 483-3937
(480) 483-8813
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
62843
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
62843
MEDICAL LICENSE
AZ
Enumeration date
04/22/2013
Last updated
02/09/2021
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