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
1907 BROADWAY AVE, SUITE 101, BOISE, ID 83706-4201
(208) 345-1222
(208) 345-1261
Mailing address
PO BOX 191050, BOISE, ID 83719-1050
(208) 955-6500
(208) 955-6503
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
12/16/2008
Last updated
02/17/2025
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