| NPI | 1033123468 |
|---|---|
| Doing Business As | SAINT ALPHONSUS MEDICAL GROUP ELLIS |
| Entity Type | Organization |
| Authorized Contact | STEPHEN FRANEY CEO 208-367-7270 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2006-07-29 |
| Last Update Date | 2020-08-22 |