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Individual

MARCIA D PRICE-MILLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
100 COTTONWOOD CT, SUITE 150, EAGLE, ID 83616-6545
(208) 841-5965
(208) 939-5888
Mailing address
5999 W STATE ST STE B, GARDEN CITY, ID 83703-5059
(208) 841-5965
(208) 939-5888

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
M6967
ID

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000010140318
BLUE SHIELD
ID
05
003874400
ID
01
51276
BLUE CROSS
ID
Enumeration date
03/29/2006
Last updated
02/11/2020
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