Saint Alphonsus Physician Services INC

NPI #1184674764 in Boise, Idaho

Provider Information

NPI Number: 1184674764
Entity Type: Organization
Organization Name: Saint Alphonsus Physician Services INC
Primary Specialty: Internal Medicine
Enumeration Date: May 12, 2006
Last Updated: Dec 21, 2007

Practice Location

Address: 6094 W EMERALD ST
City: Boise
State: Idaho
ZIP Code: 83704-8855
Phone: (208) 367-6575

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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