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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
300 W MYRTLE ST, BOISE, ID 83702-7690
(208) 472-9082
(208) 472-9083
Mailing address
PO BOX 191050, BOISE, ID 83719-1050
(208) 955-6500
(208) 955-6501
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
02/14/2012
Last updated
02/17/2025
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