Saint Alphonsus Physician Services INC

NPI #1871549394 in Boise, Idaho

Provider Information

NPI Number: 1871549394
Entity Type: Organization
Organization Name: Saint Alphonsus Physician Services INC
Primary Specialty: Internal Medicine
Enumeration Date: May 26, 2006
Last Updated: Dec 22, 2007

Practice Location

Address: 471 BAYBROOK CT
City: Boise
State: Idaho
ZIP Code: 83706-3900
Phone: (208) 367-4250

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X
Nurse Practitioner	363L00000X
Physician Assistant	363A00000X
Internal Medicine	207R00000X	Primary

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