Individual
SPENCER MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3525 E LOUISE DRIVE SUITE 400, MERIDIAN, ID 83642-6303
(208) 322-1680
Mailing address
3525 E LOUISE DRIVE SUITE 400, MERIDIAN, ID 83642-6303
(208) 322-1680
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
56645
MN
207RC0000X
Cardiovascular Disease Physician
Primary
M-14148
ID
Other
Enumeration date
06/25/2012
Last updated
04/11/2018
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