NPI | 1184674764 |
---|---|
Doing Business As | SAINT ALPHONSUS MEDICAL GROUP INTERNAL MEDICINE |
Entity Type | Organization |
Authorized Contact | JANELLE G. REILLY President 208-367-6490 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine |
Enumeration Date | 2006-05-12 |
Last Update Date | 2007-12-21 |