Individual
RENEE E.W. BIRCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD, RD, LD
Contact information
Practice address
801 POLE LINE RD W, ST. LUKE'S MAGIC VALLEY REGIONAL MEDICAL CENTER, TWIN FALLS, ID 83301-5810
(208) 814-4120
Mailing address
801 POLE LINE RD W, ST. LUKE'S MAGIC VALLEY REGIONAL MEDICAL CENTER, TWIN FALLS, ID 83301-5810
(208) 814-4120
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
D-176
ID
Other
Enumeration date
06/21/2016
Last updated
06/21/2016
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