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Organization
SAINT ALPHONSUS PHYSICIAN SERVICES INC
Active
Organization
SAINT ALPHONSUS PHYSICIAN SERVICES INC
Active
Other names
Saint Alphonsus Medical Group McMillan
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JANELLE G. REILLY (PRESIDENT)
(208) 367-6490
Entity
Organization
Contact information
Practice address
12273 W MCMILLAN RD, BOISE, ID 83713-0555
(208) 367-6330
(208) 367-4765
Mailing address
3340 E GOLDSTONE WAY, MERIDIAN, ID 83642-1026
(208) 367-5170
(208) 367-5180
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
NULL
207R00000X
Internal Medicine Physician
—
—
363A00000X
Physician Assistant
—
NULL
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
NULL
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
06/24/2006
Last updated
12/22/2007
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