Organization
ST ALPHONSUS PROFESSIONAL MEDICAL SERVICES LLC
Active
Other names
St Alphonsus Trauma Physician Services
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD PRESNELL (CHIEF FINANCIAL OFFICER)
(208) 367-2881
Entity
Organization
Contact information
Practice address
1055 N CURTIS RD, BOISE, ID 83706-1309
(208) 367-7676
Mailing address
PO BOX 9589, BOISE, ID 83707-4589
(208) 367-8111
(208) 344-1926
Taxonomy
Speciality
Code
Description
License number
State
2086S0127X
Trauma Surgery Physician
Primary
—
—
Other
Enumeration date
07/17/2006
Last updated
07/23/2007
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