JASON M BIRD

HUNTINGTON, WV
NPI1962065243
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: WV  102771)
Enumeration Date2019-04-22
Last Update Date2019-04-25
Business Address
JASON M BIRD
2828 1ST AVE STE 200
HUNTINGTON, WV 25702-1236
Phone number: 304-399-7530
Mailing Address
JASON M BIRD
PO BOX 4190
BARBOURSVILLE, WV 25504-4190
Phone number: