# BIRCH FAMILY CLINICAL SERVICES LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1760136998
- **Authorized official:** SHELDON BIRCH PHARMD (OWNER/AUTHORIZED OFFICIAL)
- **Authorized official phone:** (435) 850-8772

## Contact information

- **Practice address:** 493 N MAIN ST, TOOELE, UT 84074-1654
- **Practice address phone:** (435) 882-7775
- **Practice address fax:** (435) 882-7779
- **Mailing address:** 493 N MAIN ST, TOOELE, UT 84074-1654
- **Mailing address phone:** (435) 882-7775
- **Mailing address fax:** (435) 882-7779

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 02/07/2022
- **Last updated:** 02/07/2022