Organization
SAINT ALPHONSUS CALDWELL CANCER TREATMENT CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHELLY ANN GORMAN (MANAGER)
(208) 205-0066
Entity
Organization
Contact information
Practice address
3123 MEDICAL DR STE A, CALDWELL, ID 83605-6972
(208) 455-2033
(208) 367-4817
Mailing address
3123 MEDICAL DR STE A, CALDWELL, ID 83605-6972
(208) 455-2033
(208) 367-4817
Taxonomy
Speciality
Code
Description
License number
State
2471R0002X
Radiation Therapy Radiologic Technologist
Primary
—
—
Other
Enumeration date
05/24/2007
Last updated
03/16/2026
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