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1073079463
ALLIANCE MEDICAL GROUP, LLC
CALDWELL, ID
NPI
1073079463
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Entity Type
Organization
Authorized Contact
TRISHA NAUMAN
Credentialing Manager
208-955-6522
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
Enumeration Date
2019-02-11
Last Update Date
2019-02-11
Business Address
ALLIANCE MEDICAL GROUP, LLC
512 N 21ST AVE
CALDWELL, ID 83605-4368
Phone number: 208-985-2875
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Mailing Address
ALLIANCE MEDICAL GROUP, LLC
PO BOX 191050
BOISE, ID 83719-1050
Phone number: 208-955-6522
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