NPI 1003278730

Tyler T Birch, DO

Practitioner Internal Medicine Physician Meridian, ID

Practice location

Address: 520 S Eagle Rd STE 3102, Meridian, ID 83642-6352
Phone: (208) 706-5100
Mailing address: 500 W Fort St # 111r, Boise, ID 83702-4501

Registered specialties (2)

Internal Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207R00000X Licence O-1272 (ID)

Other Internal Medicine providers in Idaho →

Student in an Organized Health Care Education/Training Program

Student, Health Care Taxonomy 390200000X

Other Student in an Organized Health Care Education/Training Program providers in Idaho →

Registry record

NPI: 1003278730
Entity type: Individual
Sex (as registered): Male
NPI issued: 22 Mar 2016
Record last updated: 9 Apr 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.