St. Alphonsus Physician Services INC

NPI #1538197504 in Meridian, Idaho

Provider Information

NPI Number: 1538197504
Entity Type: Organization
Organization Name: St. Alphonsus Physician Services INC
Primary Specialty: Family Medicine
Enumeration Date: Jun 29, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 3250 W CHERRY LN
City: Meridian
State: Idaho
ZIP Code: 83642-1120
Phone: (208) 895-8969

Authorized Official

Name: MS. TAMI JEAN MOSCRIP
Title: AREA MANAGER
Phone: (208) 367-4593

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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