Individual
EMILY BIRCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
869 BROOKSIDE DR, SPRINGVILLE, UT 84663-2355
(760) 472-7298
Mailing address
869 BROOKSIDE DR, SPRINGVILLE, UT 84663-2355
(760) 472-7298
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
14185490-1206
UT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/10/2023
Last updated
10/15/2024
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