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Organization

BRYCE W MILLAR MD, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. BRYCE W MILLAR MD (OWNER)
(208) 678-9760
Entity
Organization

Contact information

Practice address
1263 BENNETT AVE STE 1, BURLEY, ID 83318-2666
(208) 678-9760
(208) 678-9758
Mailing address
1263 BENNETT AVE STE 1, BURLEY, ID 83318-2666
(208) 678-9760
(208) 678-9758

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
M9574
ID

Other

Enumeration date
08/31/2006
Last updated
08/22/2020
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