| NPI | 1912054164 |
|---|---|
| Doing Business As | SAINT ALPHONSUS MEDICAL GROUP ELLIS |
| Entity Type | Organization |
| Authorized Contact | STEPHEN GREGORY FRANEY CEO 208-367-8485 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2020-08-22 |