Individual
DR. TODD F BIRCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
3351 MERLIN DR, IDAHO FALLS, ID 83404-7405
(208) 522-5594
(208) 552-2240
Mailing address
3351 MERLIN DR, IDAHO FALLS, ID 83404-7405
(208) 522-5594
(208) 552-2240
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
ODP-841
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002739800
—
ID
Enumeration date
11/28/2006
Last updated
10/24/2011
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