LESLIE R MILLER

AMMON, ID
NPI1164981056
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: ID  M-17907)
Additional Taxonomies208000000X Pediatrics
(Licence: LA  330272)
2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: LA  330272)
2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry
(Licence: LA  330272)
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2019-03-19
Last Update Date2024-11-05
Business Address
Dr. LESLIE R MILLER MD
2705 E 17TH ST
AMMON, ID 83406-6601
Phone number: 208-346-7500
Mailing Address
Dr. LESLIE R MILLER MD
1430 TULANE AVE # 8055
NEW ORLEANS, LA 70112-2632
Phone number: 504-988-7829