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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
207R00000X
Internal Medicine Physician
363A00000X
Physician Assistant
363L00000X
Nurse Practitioner

Other

Enumeration date
06/24/2006
Last updated
12/22/2007
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