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DARNELL THOMPSON BIRD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
100 MARIO CAPECCHI DR, SALT LAKE CITY, UT 84113-1103
(801) 662-2401
Mailing address
65 W. BANBURY CT., LEHI, UT 84043
(801) 592-3254

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4822505-4405
UT

Other

Enumeration date
11/06/2009
Last updated
08/24/2017
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