Individual provider · Type 1 NPI

Jonathan B. Miller, PA-C

Medical Physician Assistant · Boise, ID

NPI number 1376570440 Active

Practice location

900 N Liberty St Ste 400
Boise, ID 83704-8707

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant 363AM0700XPA549 (ID)
Medical Physician Assistant Primary 363AM0700XPA01356 (OR)

Medical Physician Assistant: Definition to come...

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About NPI 1376570440

Jonathan B. Miller, PA-C's National Provider Identifier is 1376570440, issued on Jun 26, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Boise, ID. The record was last updated on Jan 8, 2024.