Alliance Medical Group, LLC

NPI #1700644812 in Meridian, Idaho

Provider Information

NPI Number
1700644812
Entity Type
Organization
Organization Name
Alliance Medical Group, LLC
Primary Specialty
Otolaryngology
Enumeration Date
Mar 12, 2024
Last Updated
Feb 17, 2025

Practice Location

Address
875 S VANGUARD WAY STE 200A
State
Idaho
ZIP Code
83642-9445
Phone
(208) 809-2895

Authorized Official

Name
LINDA BARNES
Title
CREDENTIALING MANAGER
Phone
(208) 985-1423

Specialties & Taxonomy Codes

Specialty
Otolaryngology

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