| Robert D Birch Do Pc | |
|
501 Chipeta Way Suite 1214 Salt Lake City UT 84108-1222 | |
| (801) 587-3218 | |
| (801) 587-3303 |
| Full Name | Robert D Birch Do Pc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 501 Chipeta Way, Salt Lake City, Utah |
| Authorized Official Name and Position | Robert D Birch (PHYSICIAN) |
| Authorized Official Contact | 8015873218 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Robert D Birch Do Pc 501 Chipeta Way Suite 1214 Salt Lake City UT 84108-1222 Ph: (801) 587-3218 | Robert D Birch Do Pc 501 Chipeta Way Suite 1214 Salt Lake City UT 84108-1222 Ph: (801) 587-3218 |
| NPI Number | 1932471471 |
|---|---|
| Provider Enumeration Date | 01/30/2012 |
| Last Update Date | 01/30/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932471471 | NPI | - | NPPES |
| 499422678001 | Medicaid | UT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 221500441204 (Utah) | Primary |
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