Brandon Lynn Miner in Idaho Falls - Mohs-micrographic Surgery
Brandon Lynn Miner - NPI 1528279189
Brandon Lynn Miner is a Mohs-micrographic Surgery in Idaho Falls, Idaho. Brandon Lynn Miner practices all healthcare services and medical treatments related to Mohs-micrographic Surgery. The NPI Number for Brandon Lynn Miner is 1528279189. The last update date is 2013-10-17.
Brandon Lynn Miner's current location address is 2085 Providence Way, Idaho Falls, Idaho. You can contact this provider via phone number 2085254888 and fax number 2085254885. The mailing address for Brandon Lynn Miner is 2085 Providence Way, Idaho Falls, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Brandon Lynn Miner |
|---|---|
| Address | 2085 Providence Way, Idaho Falls, Idaho |
| Phone Number | 2085254888 |
| Fax Number | 2085254885 |
| Sole Proprietor | Y |
| Credentials | D.O |
NPI Number Detail
| NPI Number | 1528279189 |
|---|---|
| Provider Enumeration Date | 2007-05-25 |
| Last Updated Date | 2013-10-17 |
Provider Mailing Address Detail
| Address | 2085 Providence Way |
|---|---|
| City | Idaho Falls |
| State | Idaho (ID) |
| Post Code | 834044945 |
| Phone Number | 2085254888 |
| Fax Number | 2085254885 |
Provider's Primary Taxonomy Detail
| Speciality | Mohs-micrographic Surgery |
|---|---|
| Taxonomy | 207Nd0101X |
| Licence No | O-0568 |
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Definition: The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving |
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What is the unique 10-digit identifier code assigned to Brandon Lynn Miner by the Centers for Medicare & Medicaid Services?
The Brandon Lynn Miner has been issued the NPI (National Provider Identifier) 1528279189 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Where is the Brandon Lynn Miner located?
The Brandon Lynn Miner is located at 2085 Providence Way, Idaho Falls, ID 834044945.
What is the area of specialization for Brandon Lynn Miner, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Brandon Lynn Miner is Mohs-micrographic Surgery, and the corresponding taxonomy code that categorizes this area of expertise is 207Nd0101X.
On what date did the Brandon Lynn Miner receive the assignment of its 1528279189 from the Centers for Medicare & Medicaid Services?
The Brandon Lynn Miner was issued its 1528279189 by the Centers for Medicare & Medicaid Services on 2007-05-25.
When was the information pertaining to Brandon Lynn Miner most recently updated or revised?
The details related to Brandon Lynn Miner, including its address, specialty, and other relevant information, were last updated or revised on 2013-10-17.
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