# COTTONWOOD FAMILY MEDICINE

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

## Provider details

- **NPI number:** 1922366707
- **Authorized official:** MARCIA DEE PRICE-MILLER MD (OWNER/OPERATOR)
- **Authorized official phone:** (208) 995-2875

## Contact information

- **Practice address:** 100 COTTONWOOD COURT, SUITE 150, BOISE, ID 87616
- **Practice address phone:** (208) 995-2875
- **Practice address fax:** (208) 995-2874
- **Mailing address:** 100 COTTONWOOD COURT, SUITE 150, BOISE, ID 83616
- **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:** 04/30/2012
- **Last updated:** 04/30/2012