Individual
RONALD MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
630 ADDISON AVE W, SUITE 100, TWIN FALLS, ID 83301-5491
(208) 733-4343
(208) 734-9941
Mailing address
630 ADDISON AVE W, SUITE 100, TWIN FALLS, ID 83301-5491
(208) 733-4343
(208) 734-9941
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
M5473
ID
Other
Enumeration date
06/16/2006
Last updated
07/15/2007
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