Organization
ST ALPHONSUS PROFESSIONAL MEDICAL SERVICES LLC
Active
Organization
ST ALPHONSUS PROFESSIONAL MEDICAL SERVICES LLC
Active
Other names
SAMG Anesthesia
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRIAN CHECKETTS (CHIEF FINANCIAL OFFICER)
(208) 367-7347
Entity
Organization
Contact information
Practice address
1055 N CURTIS RD, BOISE, ID 83706-1309
(208) 367-6416
(208) 367-2742
Mailing address
PO BOX 190930, BOISE, ID 83719-0930
(208) 367-5170
(208) 367-5180
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002786200
—
ID
Enumeration date
07/09/2006
Last updated
06/16/2025
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