Individual
NATASHA MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
315 E ELM, STE 100, CALDWELL, ID 83605-4858
(208) 459-7415
(208) 453-3307
Mailing address
3340 E GOLDSTONE WAY, MERIDIAN, ID 83642-1026
(208) 367-5171
(208) 367-5180
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
30301
AZ
208000000X
Pediatrics Physician
Primary
M-10367
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
712598
—
AZ
Enumeration date
03/16/2006
Last updated
11/10/2016
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