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1861483455
BRIAN DAVID MILLER
IDAHO FALLS, ID
NPI
1861483455
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: ID PA-309)
Enumeration Date
2005-11-02
Last Update Date
2023-03-07
Business Address
BRIAN DAVID MILLER PA-C BS
2680 CHANNING WAY
IDAHO FALLS, ID 83404-7517
Phone number: 208-523-7667
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Mailing Address
BRIAN DAVID MILLER PA-C BS
2680 CHANNING WAY
IDAHO FALLS, ID 83404-7517
Phone number: 208-523-7667
Copy
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