Miller, Mark R

Miller, Mark R is an individual health care provider with primary practice located at 3045 E St Lukes St Suite 100, Meridian ID 83642-3507. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Miller, Mark R can be contacted via phone (208) 288-2020.

Contact Information

Primary practice address
3045 E St Lukes St Suite 100 Meridian ID 83642-3507
Phone: (208) 288-2020
Fax: (208) 288-2021
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X M7853 Idaho

Profile Details

NPI number 1881629327
LBN Legal business name Miller, Mark R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2006
Last updated Dec 12th, 2015 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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