Search › Idaho › 246X00000X
Mark Miller, R.C.S.,R.V.S
NPI 1003095761 · on the registry since 2007
Practice
- Address
- 2001 S Woodruff Ave
Suite 12b
Idaho Falls, ID 83404 - Phone
- (208) 529-2498
- Fax
- (208) 528-7971
- Organisation at this address
- Club, Inc.
Ascend Llc
Michele Osmond
Suzanne Godfrey
Neurofeedback CenterInferred from a shared address, not stated in the registry. - Clinicians at this address
- 48
Registry record
- Primary taxonomy
- 246X00000X
246X00000X
- Sex
- Male
- Record last updated
- 2007-10-30
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho