| NPI | 1538197504 |
|---|---|
| Doing Business As | ST. ALPHONSUS MEDICAL GROUP TEN MILE |
| Entity Type | Organization |
| Authorized Contact | TAMI JEAN MOSCRIP Area Manager 208-367-4593 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2006-06-29 |
| Last Update Date | 2020-08-22 |