NPI 1235179052

Ronald F Miciak, MD

Practitioner Hospitalist Physician Twin Falls, ID

Practice location

Address: 801 Pole Line Rd W, Twin Falls, ID 83301-5810
Phone: (208) 814-4100
Fax: (208) 814-4908
Mailing address: PO Box 587, Twin Falls, ID 83303-0587

Registered specialties (2)

Hospitalist Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208M00000X Licence M4130 (ID)

Other Hospitalist providers in Idaho →

Internal Medicine Physician

Allopathic & Osteopathic Physicians Taxonomy 207R00000X Licence M4130 (ID)

Other Internal Medicine providers in Idaho →

Registry record

NPI: 1235179052
Entity type: Individual
Sex (as registered): Male
NPI issued: 8 Jun 2006
Record last updated: 3 May 2019

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.