Individual
DEREK WAYNE BIRCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2364 W 12600 S, RIVERTON, UT 84065-7109
(801) 446-2131
Mailing address
420 W 2450 N, LEHI, UT 84043-3118
(801) 768-1445
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4865482-1202
UT
Other
Enumeration date
06/20/2006
Last updated
07/08/2007
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