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Individual

DR. JOHN GARTH OLIVER MILLER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2327 CORONADO ST FL 2, IDAHO FALLS, ID 83404-7407
(208) 528-1750
Mailing address
2327 CORONADO ST FL 2, IDAHO FALLS, ID 83404-7407
(208) 528-1750

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
00A768680
CA
2086S0102X
Surgical Critical Care Physician
M-10954
ID

Other

Enumeration date
07/27/2006
Last updated
06/30/2022
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