Individual
BRUCE J. BIRCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS
Contact information
Practice address
333 S 900 E, SALT LAKE CITY, UT 84102-2310
(801) 535-8163
(801) 355-4011
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(801) 535-8163
(801) 355-4011
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
953111034101
UT
Other
Enumeration date
07/28/2006
Last updated
09/26/2007
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