Saint Alphonsus Physician Services INC

NPI #1114977824 in Meridian, Idaho

Provider Information

NPI Number: 1114977824
Entity Type: Organization
Organization Name: Saint Alphonsus Physician Services INC
Primary Specialty: Family Medicine
Enumeration Date: May 11, 2006
Last Updated: Dec 21, 2007

Practice Location

Address: 3025 W CHERRY LN
Address 2: SUITE B
City: Meridian
State: Idaho
ZIP Code: 83642-8531
Phone: (208) 367-8550

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X
Obstetrics & Gynecology	207V00000X
Physician Assistant	363A00000X
Nurse Practitioner	363L00000X
Advanced Practice Midwife	367A00000X
Family Medicine	207Q00000X	Primary

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