ALLIANCE MEDICAL GROUP, LLC

BOISE, ID
NPI1568608800
Entity TypeOrganization
Authorized ContactDAVID PETERMAN
President
208-955-6522
Organization Subpart ?No
Primary Taxonomy261QM1300X Clinic/Center Multi-Specialty
Enumeration Date2008-12-16
Last Update Date2011-02-18
Business Address
ALLIANCE MEDICAL GROUP, LLC
6052 W STATE ST
BOISE, ID 83703-2739
Phone number: 208-344-7799
Mailing Address
ALLIANCE MEDICAL GROUP, LLC
PO BOX 191050
BOISE, ID 83719-1050
Phone number: 208-955-6500
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