Miranda Medical, Pllc

NPI #1053765545 in Twin Falls, Idaho

Provider Information

NPI Number
1053765545
Entity Type
Organization
Organization Name
Miranda Medical, Pllc
Primary Specialty
Internal Medicine - Hematology & Oncology
Enumeration Date
Apr 20, 2016
Last Updated
Apr 20, 2016

Practice Location

Address
706 N COLLEGE RD
Address 2
SUITE A
State
Idaho
ZIP Code
83301-5824
Phone
(208) 736-8006

Authorized Official

Name
DR. A RICHARD MIRANDA, M.D.
Title
CEO
Phone
(208) 420-1319

Specialties & Taxonomy Codes

Specialty
Internal Medicine - Hematology & OncologyHematology & Oncology

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