Todd F Birch.o.d.

NPI #1225294333 in Saint Anthony, Idaho

Provider Information

NPI Number: 1225294333
Entity Type: Organization
Organization Name: Todd F Birch.o.d.
Primary Specialty: Optometrist
Enumeration Date: Jul 29, 2008
Last Updated: Jul 29, 2008

Practice Location

Address: 45 W 1ST N
City: Saint Anthony
State: Idaho
ZIP Code: 83445-1401
Phone: (208) 624-3231

Authorized Official

Name: TODD F BIRCH, O.D.
Title: PRESIDENT
Phone: (208) 522-5594

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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