Provider Demographics
NPI:1699871301
Name:BIRDSONG, RICHARD HAMPDEN (MD)
Entity type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:HAMPDEN
Last Name:BIRDSONG
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1221 NOYES DR
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20910-2718
Mailing Address - Country:US
Mailing Address - Phone:301-589-7852
Mailing Address - Fax:202-782-6156
Practice Address - Street 1:WALTER REED ARMY MEDICAL CENTER OPTHALMOLOGY SERVICE
Practice Address - Street 2:6900 GEORGIA AVE
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20307-0001
Practice Address - Country:US
Practice Address - Phone:202-782-6966
Practice Address - Fax:202-782-6156
Is Sole Proprietor?:No
Enumeration Date:2006-09-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MS11334207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology