| NPI | 1083815294 |
|---|---|
| Doing Business As | SAINT ALPHONSUS MEDICAL GROUP |
| Other Name | NURSE PRACTIONER |
| Entity Type | Organization |
| Authorized Contact | BRIAN LANNIE CHECKETTS CFO & Board Member 208-367-7347 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: ID M2) |
| Enumeration Date | 2007-05-29 |
| Last Update Date | 2023-01-24 |