Organization
TREASURE VALLEY CHILDRENS CLINIC, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN BIRCH MD (PRESIDENT & CEO)
(208) 420-9330
Entity
Organization
Contact information
Practice address
2921 S MERIDIAN RD, MERIDIAN, ID 83642-7961
(208) 297-7847
(208) 203-0097
Mailing address
1775 W STATE ST # 229, BOISE, ID 83702-3924
(208) 297-7847
(208) 203-0097
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
03/08/2023
Last updated
03/08/2023
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