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Contact Information

JOHN G MILLER, MD
2327 CORONADO ST FL 2
IDAHO FALLS, ID83404-7407
 Phone: 208-528-1750
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Specialist

174400000X
 

Surgical Critical Care

2086S0102X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for JOHN G MILLER · (Male)

NPI # 1295759520
Status Active
Credentials MD
Entity Individual
Enumeration date 07/27/2006
Last updated 06/30/2022 - About 4 years ago
Sole proprietor 1 Yes
Identifiers
  • CA License # 00A768680
  • ID License # M-10954
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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