Bird, C Roger
Bird, C Roger is an individual health care provider with primary practice located at 350 W Thomas Rd , Phoenix AZ 85013-4409. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Neuroradiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Bird, C Roger can be contacted via phone (602) 406-3000.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 16741 | Arizona |
| Allopathic & Osteopathic Physicians / Neuroradiology | 2085N0700X | 16741 | Arizona |
Profile Details
| NPI number | 1740256270 |
|---|---|
| LBN Legal business name | Bird, C Roger |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 24th, 2006 |
| Last updated | Sep 24th, 2012 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1740256270 | NPPES |
| Arizona | Other | IZ7046 | HEALTH NET OF AZ |
| Arizona | MEDICAID | 296500 | HEALTH NET OF AZ |
| Arizona | Other | AZ0382090 | HEALTH NET OF AZ |
| Arizona | Other | XPY108340 | HEALTH NET OF AZ |
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