NPI 1063448538

Saint Alphonsus Physician Services INC

Organisation Family Medicine Physician Boise, ID

Practice location

Address: 12273 W McMillan Rd, Boise, ID 83713-0555
Phone: (208) 367-6330
Fax: (208) 367-4765
Mailing address: 3340 E Goldstone Way, Meridian, ID 83642-1026

Authorised official

Name: Janelle G. Reilly
Title: President
Phone: (208) 367-6490

Registered specialties (4)

Family Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X

Other Family Medicine providers in Idaho →

Internal Medicine Physician

Allopathic & Osteopathic Physicians Taxonomy 207R00000X

Other Internal Medicine providers in Idaho →

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X

Other Physician Assistant providers in Idaho →

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363L00000X

Other Nurse Practitioner providers in Idaho →

Registry record

NPI: 1063448538
Entity type: Organization
NPI issued: 24 Jun 2006
Record last updated: 22 Dec 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.