| Doctor Name: | MARK L MILLER |
| NPI Number: | 1003095761 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | R.C.S.,R.V.S. |
| License Number: | |
| Business Practice Address: | 2001 S Woodruff Ave Suite 12b Idaho Falls, ID - 834046374 |
| Business Phone Number: | 2085292498 |
| Business Fax Number: | 2085287971 |
| Mailing Address: | 2001 S Woodruff Ave, Suite 12b IDAHO FALLS |
| State: | ID |
| Postal Code: | 834046374 |
| Phone Number: | 2085292498 |
| Fax Number: | 2085287971 |
| NPI Enumeration Date: | 10/30/2007 |
| NPI Last Update Date: | 10/30/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 246X00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
| Taxonomy Classification: | Spec/Tech, Cardiovascular |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An allied health professional who performs diagnostic examinations at the request or direction of a physician in one or more of the following three areas: invasive cardiology, noninvasive cardiology, and noninvasive peripheral vascular study. Cardiovascular technologists are one type of allied health professional for which the Committee on Allied Health Education and Accreditation has accredited education programs |