Organization
FIRST CARE CONCUSSION DIAGNOSTIC CLINICS OF IDAHO, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NATHAN DEE MILLER DC (CEO)
(801) 899-2053
Entity
Organization
Contact information
Practice address
24641 BLAZE AVE, MIDDLETON, ID 83644-6156
(702) 403-1103
(385) 365-5054
Mailing address
1988 W 930 N STE D, PLEASANT GROVE, UT 84062-4132
(702) 403-1103
(385) 365-5054
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
04/19/2023
Last updated
04/19/2023
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