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NPI Verification

National Provider Identifier: 1003278730

Tyler T Birch, D.o.

Individual Provider

Credentials

D.O.

Primary Specialty

Internal Medicine

Code: 207R00000X

All Specialties (2)

Student in an Organized Health Care Education/Training Program

Code: 390200000X

Internal Medicine

Code: 207R00000X

Primary

Practice Address

500 W FORT ST # 111R

BOISE, ID 837024501

NPI Enumeration Date

March 22, 2016

NPI Number

1003278730

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry