IndividualActive
Brandon Miner, D.O
NPI 1528279189 · MOHS-Micrographic Surgery Physician · Idaho Falls, ID
Provider details
- NPI number
- 1528279189
- Entity type
- Individual
- Primary specialty
- MOHS-Micrographic Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- D.O
- Sex
- Male
- Sole proprietor
- Yes
- License
- O-0568 (ID)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
2085 Providence Way
Idaho Falls, ID 83404-4945
Phone: (208) 525-4888
Fax: (208) 525-4885
Approximate (ZIP-level) locationGet directions
Mailing address
2085 Providence Way
Idaho Falls, ID 83404-4945
Registry dates
- Enumerated
- 2007-05-25
- Last updated
- 2013-10-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.