Individual
DR. JESSICA LYNN BIRCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1925 MOUNTAIN VIEW AVE, LONGMONT, CO 80501-3128
(720) 494-3120
(720) 494-3113
Mailing address
2695 ROCKY MOUNTAIN AVE STE 150, LOVELAND, CO 80538-9071
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
DR.0062005
CO
207YS0123X
Facial Plastic Surgery Physician
DR.0062005
CO
Other
Enumeration date
06/06/2014
Last updated
01/09/2023
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