Alliance Medical Group, LLC

NPI #1063658300 in Eagle, Idaho

Provider Information

NPI Number: 1063658300
Entity Type: Organization
Organization Name: Alliance Medical Group, LLC
Primary Specialty: Family Medicine
Enumeration Date: Dec 16, 2008
Last Updated: Feb 17, 2025

Practice Location

Address: 1895 MCGRATH RD
City: Eagle
State: Idaho
ZIP Code: 83616-6243
Phone: (208) 939-8200

Authorized Official

Name: LINDA BARNES
Title: CREDENTIALING MGR
Phone: (208) 985-1423

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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