| NPI | 1487849147 |
|---|---|
| Doing Business As | SAINT ALPHONSUS MEDICAL GROUP WOMEN'S HEALTH LIBERTY |
| Entity Type | Organization |
| Authorized Contact | JANELLE G. REILLY President 208-367-6490 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife |
| Enumeration Date | 2007-09-06 |
| Last Update Date | 2007-12-21 |