Miller, Mark L

Miller, Mark L is an individual health care provider with primary practice located at 2001 S Woodruff Ave Suite 12B, Idaho Falls ID 83404-6374. He recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Specialist/Technologist Cardiovascular, which is considered as his primary health care specialty. Miller, Mark L can be contacted via phone (208) 529-2498.

Contact Information

Primary practice address
2001 S Woodruff Ave Suite 12B Idaho Falls ID 83404-6374
Phone: (208) 529-2498
Fax: (208) 528-7971
Website:
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Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Specialist/Technologist Cardiovascular 246X00000X

Profile Details

NPI number 1003095761
LBN Legal business name Miller, Mark L
Credentials R.C.S.,R.V.S.
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 30th, 2007
Last updated Oct 30th, 2007 - about 19 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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