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1700644812
ALLIANCE MEDICAL GROUP, LLC
MERIDIAN, ID
NPI
1700644812
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Entity Type
Organization
Authorized Contact
LINDA BARNES
Credentialing Manager
208-985-1423
Organization Subpart ?
No
Primary Taxonomy
207Y00000X Otolaryngology
Enumeration Date
2024-03-12
Last Update Date
2024-03-12
Business Address
ALLIANCE MEDICAL GROUP, LLC
875 S VANGUARD WAY STE 200
MERIDIAN, ID 83642-8542
Phone number: 208-884-2980
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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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