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1124641188
ALLIANCE MEDICAL GROUP, LLC
BOISE, ID
NPI
1124641188
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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
2020-05-26
Last Update Date
2020-05-26
Business Address
ALLIANCE MEDICAL GROUP, LLC
1475 N COLE RD
BOISE, ID 83704-8537
Phone number: 208-809-2880
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Mailing Address
ALLIANCE MEDICAL GROUP, LLC
PO BOX 191050
BOISE, ID 83719-1050
Phone number: 208-955-6500
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