Individual
DR. RICHARD GLEN BIRCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
200 N 400 E, PANGUITCH, UT 84759-7803
(435) 676-8842
Mailing address
200 N 400 E, PANGUITCH, UT 84759-7803
(435) 676-8842
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
273038-1204
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
876000309
TAX ID #
UT
05
—
D0451
—
UT
Enumeration date
08/24/2006
Last updated
05/28/2026
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