Saint Alphonsus Specialty Services INC

NPI #1093040479 in Boise, Idaho

Provider Information

NPI Number: 1093040479
Entity Type: Organization
Organization Name: Saint Alphonsus Specialty Services INC
Primary Specialty: Surgery - Trauma Surgery
Enumeration Date: Oct 2, 2009
Last Updated: Apr 27, 2018

Practice Location

Address: 6140 W CURTISIAN AVE
Address 2: STE 200
City: Boise
State: Idaho
ZIP Code: 83704-0107
Phone: (208) 367-4278

Authorized Official

Name: ODETTE BOLANO
Title: PRESIDENT
Phone: (208) 367-2118

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Thoracic Surgery (Cardiothoracic Vascular Surgery)	208G00000X
Hospitalist	208M00000X
Pain Medicine - Pain Medicine — Pain Medicine	208VP0000X
Nurse Practitioner - Family — Family	363LF0000X
Internal Medicine - Cardiovascular Disease — Cardiovascular Disease	207RC0000X
Neurological Surgery	207T00000X
Obstetrics & Gynecology	207V00000X
Obstetrics & Gynecology - Maternal & Fetal Medicine — Maternal & Fetal Medicine	207VM0101X
Obstetrics & Gynecology - Gynecologic Oncology — Gynecologic Oncology	207VX0201X
Orthopaedic Surgery - Pediatric Orthopaedic Surgery — Pediatric Orthopaedic Surgery	207XP3100X
Psychiatry & Neurology - Neurology — Neurology	2084N0400X
Surgery	208600000X
Surgery - Vascular Surgery — Vascular Surgery	2086S0129X
Clinical Nurse Specialist	364S00000X
Surgery - Trauma Surgery — Trauma Surgery	2086S0127X	Primary

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