NPI | 1821032376 |
---|---|
Doing Business As | SAINT ALPHONSUS MEDICAL GROUP TEN MILE |
Entity Type | Organization |
Authorized Contact | JANELLE G. REILLY President 208-367-6490 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
Enumeration Date | 2006-06-15 |
Last Update Date | 2007-12-27 |