| 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 |