Individual provider · Type 1 NPI

Brian David Miller, PA-C BS

Medical Physician Assistant · Idaho Falls, ID

NPI number 1861483455 Active

Practice location

2680 Channing Way
Idaho Falls, ID 83404-7517

Call (208) 523-7667 Map

Fax (208) 523-7668

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA-309 (ID)

Medical Physician Assistant: Definition to come...

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About NPI 1861483455

Brian David Miller, PA-C BS's National Provider Identifier is 1861483455, issued on Nov 2, 2005. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Idaho Falls, ID. The record was last updated on Mar 7, 2023.