| NPI | 1801820501 |
|---|---|
| Doing Business As | SAINT ALPHONSUS MEDICAL GROUP MERIDIAN |
| Entity Type | Organization |
| Authorized Contact | JANELLE G. REILLY President 208-367-6490 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2007-12-22 |