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Organization

SAINT ALPHONSUS SPECIALTY SERVICES INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ODETTE BOLANO (PRESIDENT)
(208) 367-2118
Entity
Organization

Contact information

Practice address
6140 W CURTISIAN AVE, STE 200, BOISE, ID 83704-0107
(208) 367-4278
Mailing address
1070 N CURTIS RD, STE 250, BOISE, ID 83706-1258
(208) 367-4593
(208) 367-5590

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
207T00000X
Neurological Surgery Physician
207V00000X
Obstetrics & Gynecology Physician
207VM0101X
Maternal & Fetal Medicine Physician
207VX0201X
Gynecologic Oncology Physician
207XP3100X
Pediatric Orthopaedic Surgery Physician
2084N0400X
Neurology Physician
208600000X
Surgery Physician
2086S0127X
Trauma Surgery Physician
Primary
2086S0129X
Vascular Surgery Physician
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
208M00000X
Hospitalist Physician
208VP0000X
Pain Medicine Physician
363LF0000X
Family Nurse Practitioner
364S00000X
Clinical Nurse Specialist

Other

Enumeration date
10/02/2009
Last updated
04/27/2018
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