# COTTONWOOD FAMILY MEDICINE PLLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1548536881
- **Authorized official:** DR. MARCIA DEE PRICE-MILLER M.D. (PHYSICIAN/OWNER)
- **Authorized official phone:** (208) 995-2875

## Contact information

- **Practice address:** 5999 W STATE ST STE B, GARDEN CITY, ID 83703-5059
- **Practice address phone:** (208) 995-2875
- **Practice address fax:** (208) 995-2874
- **Mailing address:** 5999 W STATE ST STE B, GARDEN CITY, ID 83703-5059
- **Mailing address phone:** (208) 995-2875
- **Mailing address fax:** (208) 995-2874

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/30/2012
- **Last updated:** 02/11/2020