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Organization

ALLIANCE PHYSICAL MEDICINE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. BRITTANY STICKLER NP (OWNER)
(208) 322-7900
Entity
Organization

Contact information

Practice address
13909 W WAINWRIGHT DRIVE, BOISE, ID 83713
(208) 322-7900
Mailing address
13909 W WAINWRIGHT DRIVE, BOISE, ID 83713
(208) 322-7900

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary

Other

Enumeration date
09/18/2015
Last updated
04/20/2016
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