Individual
MARK L MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.C.S.,R.V.S.
Contact information
Practice address
2001 S WOODRUFF AVE, SUITE 12B, IDAHO FALLS, ID 83404-6374
(208) 529-2498
(208) 528-7971
Mailing address
2001 S WOODRUFF AVE, SUITE 12B, IDAHO FALLS, ID 83404-6374
(208) 529-2498
(208) 528-7971
Taxonomy
Speciality
Code
Description
License number
State
246X00000X
Cardiovascular Specialist/Technologist
Primary
—
—
Other
Enumeration date
10/30/2007
Last updated
10/30/2007
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