Wellformed AI

NPI 1265719827 · live from the CMS NPI Registry

Leigh Ana Bird, PA-C

Physician Assistant in Clarksburg, WV. National Provider Identifier 1265719827, active.

NPI record

NPI1265719827 Type 1 · individual
StatusActive
Primary specialtyPhysician Assistant 363A00000X
Practice location399 Emily Dr, Clarksburg, WV 26301
Practice phone304-624-4315
Mailing address125 N 6th St, Clarksburg, WV 26301
EnumeratedNovember 10, 2011
Last updatedJanuary 23, 2015
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Physician Assistant primary363A00000X01603 (WV)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.