# MIRANDA MEDICAL PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1144659327
- **Authorized official:** A RICHARD MIRANDA M.D. (OWNER)
- **Authorized official phone:** (208) 420-1319

## Contact information

- **Practice address:** 94220 4TH ST, GOLD BEACH, OR 97444-7756
- **Practice address phone:** (208) 420-1319
- **Practice address fax:** (702) 453-5741
- **Mailing address:** PO BOX 5498, TWIN FALLS, ID 83303-5498
- **Mailing address phone:** (208) 420-1319
- **Mailing address fax:** (702) 453-5741

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RH0003X | Hematology & Oncology Physician | MD151354 | OR | Yes |

## Other

- **Enumeration date:** 11/07/2013
- **Last updated:** 11/07/2013