Organization
ST. ALPHONSUS PHYSICIAN SERVICES INC
Active
Other names
St. Alphonsus Medical Group Ten Mile
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TAMI JEAN MOSCRIP (AREA MANAGER)
(208) 367-4593
Entity
Organization
Contact information
Practice address
3250 W CHERRY LN, MERIDIAN, ID 83642-1120
(208) 895-8969
(208) 895-8973
Mailing address
3250 W CHERRY LN, MERIDIAN, ID 83642-1120
(208) 895-8969
(208) 895-8973
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
06/29/2006
Last updated
08/22/2020
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