Organization
SAINT ALPHONSUS PHYSICIAN SERVICES INC
Active
Other names
Saint Alphonsus Medical Group Ten Mile
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JANELLE G. REILLY (PRESIDENT)
(208) 367-6490
Entity
Organization
Contact information
Practice address
3250 W CHERRY LN, MERIDIAN, ID 83642-1120
(208) 895-8969
Mailing address
3340 E GOLDSTONE WAY, MERIDIAN, ID 83642-1026
(208) 367-5170
(208) 367-5180
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
06/15/2006
Last updated
12/27/2007
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