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Organization
ALLIANCE MEDICAL GROUP, LLC
Active
Organization
ALLIANCE MEDICAL GROUP, LLC
Active
Other names
Primary Health Medical Group
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA BARNES (CREDENTIALING MGR)
(208) 985-1423
Entity
Organization
Contact information
Practice address
1375 N HAPPY VALLEY RD, NAMPA, ID 83687-5280
(208) 809-2869
(208) 809-2870
Mailing address
10482 W CARLTON BAY DR, GARDEN CITY, ID 83714-5143
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
ID
Other
Enumeration date
01/04/2018
Last updated
02/17/2025
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