Brandon Miner, D.O

NPI 1528279189 · on the registry since 2007 · sole proprietor

Practice

Address: 2085 Providence Way
Idaho Falls, ID 83404
Phone: (208) 525-4888
Fax: (208) 525-4885
Organisation at this address: High Valley Dermatology & Dermatologic Surgery Pllc
High Valley Dermatology & Dermatologic Surgery Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 2

Registry record

Primary taxonomy: 207ND0101X
207ND0101X
Licence states on file: ID
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2013-10-17

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