NPI 1003095761
Mark L Miller, RCSRVS
Practice location
- Address
- 2001 S Woodruff Ave Suite 12b, Idaho Falls, ID 83404-6374
- Phone
- (208) 529-2498
- Fax
- (208) 528-7971
Registered specialties
Cardiovascular Specialist/Technologist
Primary
Registry record
- NPI
- 1003095761
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 30 Oct 2007
- Record last updated
- 30 Oct 2007
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.