IndividualActive
Clayton Miller, D.O.
NPI 1285048041 · Surgery Physician · Meridian, ID
Provider details
- NPI number
- 1285048041
- Entity type
- Individual
- Primary specialty
- Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- D.O.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 5101021200 (MI)
Practice location
520 S Eagle Rd Ste 1241
Meridian, ID 83642-6355
Phone: (208) 381-6930
Mailing address
190 E Bannock St
Boise, ID 83712-6241
Registry dates
- Enumerated
- 2014-06-19
- Last updated
- 2022-03-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.