Mark L Miller, R.C.S.,R.V.S.

NPI #1003095761 in Idaho Falls, Idaho

Provider Information

NPI Number: 1003095761
Entity Type: Individual
Name: Mark L Miller, R.C.S.,R.V.S.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Specialist/Technologist Cardiovascular
Credential: R.C.S.,R.V.S.
Enumeration Date: Oct 30, 2007
Last Updated: Oct 30, 2007

Practice Location

Address: 2001 S WOODRUFF AVE
Address 2: SUITE 12B
City: Idaho Falls
State: Idaho
ZIP Code: 83404-6374
Phone: (208) 529-2498

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist/Technologist Cardiovascular	246X00000X	Primary

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