First Care Concussion Diagnostic Clinics of Idaho, LLC

NPI #1609563618 in Middleton, Idaho

Provider Information

NPI Number
1609563618
Entity Type
Organization
Organization Name
First Care Concussion Diagnostic Clinics of Idaho, LLC
Primary Specialty
Clinic/Center - Health Service
Enumeration Date
Apr 19, 2023
Last Updated
Apr 19, 2023

Practice Location

Address
24641 BLAZE AVE
State
Idaho
ZIP Code
83644-6156
Phone
(702) 403-1103

Authorized Official

Name
DR. NATHAN DEE MILLER, DC
Title
CEO
Phone
(801) 899-2053

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Health ServiceHealth Service

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