Individual
KIMBERLY BIRCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
7010 E CHAUNCEY LN, SUITE 210, PHOENIX, AZ 85054-3111
(602) 277-1117
Mailing address
7010 E CHAUNCEY LN, SUITE 210, PHOENIX, AZ 85054-3111
(602) 277-1117
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
4611
AZ
Other
Enumeration date
02/06/2014
Last updated
02/06/2014
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