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 |