Individual
MRS. ALYSSA MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
914 W IRONWOOD DR STE 101, COEUR D ALENE, ID 83814-4927
(208) 625-3500
(208) 625-3501
Mailing address
2003 KOOTENAI HEALTH WAY, COEUR D ALENE, ID 83814-6051
(208) 625-3500
(208) 765-1494
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA1833
ID
Other
Enumeration date
10/19/2015
Last updated
04/15/2024
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