NPI 1144673021

Saint Alphonsus Regional Medical Center

Organisation Preventive Medicine/Occupational Environmental Medicine Physician Boise, ID

Practice location

Address: 6533 W Emerald St, Boise, ID 83704-8737
Phone: (208) 302-7600
Fax: (208) 302-7605

Authorised official

Name: Brian Lannie Checketts
Title: Cfo
Phone: (208) 367-2844

Registered specialties (2)

Preventive Medicine/Occupational Environmental Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2083P0500X Licence M-5535 (ID)

Other Preventive Medicine providers in Idaho →

Occupational Medicine Physician

Allopathic & Osteopathic Physicians Taxonomy 2083X0100X

Registry record

NPI: 1144673021
Entity type: Organization
NPI issued: 15 Jul 2016
Record last updated: 17 Oct 2024

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.