SearchArkansas183500000X

Matthew Bird

NPI 1619577012 · on the registry since 2020

Practice

Address
1123 Highway 79 167 Byp
Fordyce, AR 71742
Phone
(870) 352-8034
Fax
(870) 352-8337
Organisation at this address
Walmart Inc.
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
183500000X
183500000X
Licence states on file
AR
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2020-10-27

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arkansas