Birch Family Clinical Services LLC
Family Medicine in Tooele, UT. Organization (NPI-2).
NPI number1760136998
StatusActive
Last updated in NPPESFeb 7, 2022
Details
- NPI
- 1760136998
- Entity type
- Organization (NPI-2)
- Legal business name
- Birch Family Clinical Services LLC
- Organization subpart
- No
- Enumeration date
- Feb 7, 2022
- Certification date
- Feb 7, 2022
- Last updated
- Feb 7, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | – | – | Yes |
Practice location
493 N Main StTooele, UT 84074-1654
Phone 435-882-7775 · Fax 435-882-7779
Mailing address
493 N Main StTooele, UT 84074-1654
Phone 435-882-7775 · Fax 435-882-7779
Authorized official
Sheldon Birch
Owner/Authorized Official
4358508772
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