Organization
SAINT ALPHONSUS PHYSICIAN SERVICES INC
Active
Organization
SAINT ALPHONSUS PHYSICIAN SERVICES INC
Active
Other names
Saint Alphonsus Medical Group Internal Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JANELLE G. REILLY (PRESIDENT)
(208) 367-6490
Entity
Organization
Contact information
Practice address
6094 W EMERALD ST, BOISE, ID 83704-8855
(208) 367-6575
(208) 367-6597
Mailing address
3340 E GOLDSTONE WAY, MERIDIAN, ID 83642-1026
(208) 367-5170
(208) 367-5180
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
05/12/2006
Last updated
12/21/2007
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