Bryce W Millar Md, Pllc

NPI 1356452296 - Specialist - 174400000X

NPI Details
NPI 1356452296
Enumeration Date 08/31/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name BRYCE W BRYCE
Position OWNER
Phone (208) 678-9760
Fax (208) 678-9758
Practice Location
1263 BENNETT AVE STE 1
BURLEY ID, 83318-2666, US
Phone (208) 678-9760
Fax (208) 678-9758
Business Location
1263 BENNETT AVE STE 1
BURLEY ID, 83318-2666, US
Phone (208) 678-9760
Fax (208) 678-9758
Toxanomy
Taxonomy Code 174400000X
License State Idaho
License Number M9574
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According to our database, Bryce W Millar Md, Pllc NPI is 1356452296, taxonomy code is 174400000X and license number is M9574, license state is located at Idaho. Bryce W Millar Md, Pllc physically located at 1263 Bennett Ave Ste 1, Burley ID, 83318-2666. NPI Number 1033115704 has the healthcare provider type.

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1356452296 NPI number is provided on an as is basis without warranty of any kind. 1356452296 is maintained by the National Plan & Provider Enumeration System. The contents of Bryce W Millar Md, Pllc are for informational purposes only.