Organization
COTTONWOOD FAMILY MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARCIA DEE PRICE-MILLER MD (OWNER/OPERATOR)
(208) 995-2875
Entity
Organization
Contact information
Practice address
100 COTTONWOOD COURT, SUITE 150, BOISE, ID 87616
(208) 995-2875
(208) 995-2874
Mailing address
100 COTTONWOOD COURT, SUITE 150, BOISE, ID 83616
(208) 995-2875
(208) 995-2874
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003874400
—
ID
01
—
51276
BLUE CROSS
—
Enumeration date
04/30/2012
Last updated
04/30/2012
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