Michael R, Minas, MD Valid NPI

Individual provider · Family Medicine Physician · Eagle, ID

NPI

1528178977

Type

Individual (Type 1)

Primary specialty

Family Medicine Physician (Family Medicine)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

207Q00000X

License number

M-8587 (ID)

Sex

Male

Sole proprietor

Yes

Enumerated

2006-08-30

Last updated

2011-01-12