# BRYCE W MILLAR MD, PLLC

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

## Provider details

- **NPI number:** 1356452296
- **Authorized official:** DR. BRYCE W MILLAR MD (OWNER)
- **Authorized official phone:** (208) 678-9760

## Contact information

- **Practice address:** 1263 BENNETT AVE STE 1, BURLEY, ID 83318-2666
- **Practice address phone:** (208) 678-9760
- **Practice address fax:** (208) 678-9758
- **Mailing address:** 1263 BENNETT AVE STE 1, BURLEY, ID 83318-2666
- **Mailing address phone:** (208) 678-9760
- **Mailing address fax:** (208) 678-9758

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 174400000X | Specialist | M9574 | ID | Yes |

## Other

- **Enumeration date:** 08/31/2006
- **Last updated:** 08/22/2020