Organization
ALLIANCE MEDICAL GROUP, LLC
Active
Other names
Primary Health Medical Group
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA BARNES (CREDENTIALING MANAGER)
(208) 985-1423
Entity
Organization
Contact information
Practice address
875 S VANGUARD WAY STE 200A, MERIDIAN, ID 83642-9445
(208) 809-2895
(208) 809-2896
Mailing address
PO BOX 191050, BOISE, ID 83719-1050
(208) 955-6500
(208) 955-6503
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
—
—
Other
Enumeration date
03/12/2024
Last updated
02/17/2025
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