Organization
EAGLE PEDIATRICS,P.A.
Active
Other names
Eagle Pediatrics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALAN P MILLER M.D. (OWNER)
(208) 939-4880
Entity
Organization
Contact information
Practice address
125 N. STIERMAN, SUITE A, EAGLE, ID 83616-5136
(208) 939-4880
(208) 939-5003
Mailing address
125 N. STIERMAN WAY, SUITE A, EAGLE, ID 83616-0000
(208) 939-4880
(208) 939-5003
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
M6036
ID
Other
Enumeration date
04/17/2007
Last updated
08/22/2020
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