Fred P Miller, FNP | |
425 Idaho Street, Gooding, ID 83330 | |
(208) 934-5900 | |
(208) 934-5719 |
Full Name | Fred P Miller |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 425 Idaho Street, Gooding, Idaho |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1598720997 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | NP104 (Idaho) | Primary |
Entity Name | Associates In Family Practice Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1326002650 PECOS PAC ID: 2163330325 Enrollment ID: O20040128000830 |
Mailing Address | Practice Location Address |
---|---|
Fred P Miller, FNP Po Box 447, Gooding, ID 83330 Ph: (208) 934-5900 | Fred P Miller, FNP 425 Idaho Street, Gooding, ID 83330 Ph: (208) 934-5900 |
Reid Wayne Lofgran, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 267 N Canyon Dr, Gooding, ID 83330 Phone: 208-934-4433 Fax: 208-934-4442 | |
Jennifer Marie Olsen, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 267 N Canyon Dr, Gooding, ID 83330 Phone: 208-934-4446 Fax: 208-934-4442 | |
Mark D Spencer, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 425 Idaho Street, Gooding, ID 83330 Phone: 208-934-5900 Fax: 208-934-5719 | |
Mr. Greg C Boettcher, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 267 N Canyon Dr, Gooding, ID 83330 Phone: 208-934-4446 Fax: 208-934-4442 | |
Florian John Gies, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 425 Idaho St, Gooding, ID 83330 Phone: 208-934-5900 Fax: 208-934-5719 | |
Cooper John Field, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 267 N Canyon Dr, Gooding, ID 83330 Phone: 208-934-4446 |