Saint Alphonsus Physician Services INC

NPI #1063448538 in Boise, Idaho

Provider Information

NPI Number: 1063448538
Entity Type: Organization
Organization Name: Saint Alphonsus Physician Services INC
Primary Specialty: Family Medicine
Enumeration Date: Jun 24, 2006
Last Updated: Dec 22, 2007

Practice Location

Address: 12273 W MCMILLAN RD
City: Boise
State: Idaho
ZIP Code: 83713-0555
Phone: (208) 367-6330

Authorized Official

Name: MS. JANELLE G. REILLY
Title: PRESIDENT
Phone: (208) 367-6490

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X
Nurse Practitioner	363L00000X
Physician Assistant	363A00000X
Family Medicine	207Q00000X	Primary

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