Saint Alphonsus Physician Services INC

NPI #1366492084 in Nampa, Idaho

Provider Information

NPI Number: 1366492084
Entity Type: Organization
Organization Name: Saint Alphonsus Physician Services INC
Primary Specialty: Family Medicine
Enumeration Date: May 11, 2006
Last Updated: Dec 22, 2007

Practice Location

Address: 1200 GARRITY BLVD
City: Nampa
State: Idaho
ZIP Code: 83687-3402
Phone: (208) 466-9092

Authorized Official

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

Specialties & Taxonomy Codes

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

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