Saint Alphonsus Caldwell Cancer Treatment Center LLC

NPI #1053522961 in Caldwell, Idaho

Provider Information

NPI Number: 1053522961
Entity Type: Organization
Organization Name: Saint Alphonsus Caldwell Cancer Treatment Center LLC
Primary Specialty: Radiologic Technologist - Radiation Therapy
Enumeration Date: May 24, 2007
Last Updated: Jun 16, 2025

Practice Location

Address: 3123 MEDICAL DR STE A
City: Caldwell
State: Idaho
ZIP Code: 83605-6972
Phone: (208) 455-2033

Authorized Official

Name: SHELLY ANN GORMAN
Title: MANAGER
Phone: (208) 205-0066

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Radiologic Technologist - Radiation Therapy — Radiation Therapy	2471R0002X	Primary

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