Individual
BRYCE WAYNE MILLAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1501 HILAND AVE, SUITE C, BURLEY, ID 83318-2688
(208) 677-6080
(208) 677-6090
Mailing address
44 W 532 S, BURLEY, ID 83318-5751
(208) 678-6522
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
M9574
ID
Other
Enumeration date
06/15/2006
Last updated
09/08/2021
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