Organization
ALLIANCE MEDICAL GROUP, LLC
Active
Other names
Primary Health Medical Group
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA BARNES (CREDENTIALING MGR)
(208) 985-1423
Entity
Organization
Contact information
Practice address
1375 N HAPPY VALLEY RD, NAMPA, ID 83687-5280
(208) 809-2869
(208) 809-2870
Mailing address
10482 W CARLTON BAY DR, GARDEN CITY, ID 83714-5143
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
ID
Other
Enumeration date
01/04/2018
Last updated
02/17/2025
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