Individual
DANIEL H. MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3100 CHANNING WAY, IDAHO FALLS, ID 83404-7533
(208) 227-2700
(208) 227-2735
Mailing address
5150 S 375 E STE 3, WASHINGTON TERRACE, UT 84405-4503
(801) 475-6532
(801) 475-6182
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
11797A
WY
2085R0001X
Radiation Oncology Physician
Primary
M-14311
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
154780100
—
WY
Enumeration date
04/26/2013
Last updated
02/17/2021
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