Brian Richard Miller, OD

NPI #1710978473 in Rathdrum, Idaho

Provider Information

NPI Number: 1710978473
Entity Type: Individual
Name: Brian Richard Miller, OD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Optometrist
Credential: OD
Enumeration Date: Nov 2, 2005
Last Updated: Jul 8, 2007

Practice Location

Address: 15630 N HIGHWAY 41
City: Rathdrum
State: Idaho
ZIP Code: 83858-8710
Phone: (208) 687-0370

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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Organizations

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