NPI 1700644812

Alliance Medical Group, LLC

Organisation Otolaryngology Physician Meridian, ID

Practice location

Address: 875 S Vanguard Way STE 200a, Meridian, ID 83642-9445
Phone: (208) 809-2895
Fax: (208) 809-2896
Mailing address: PO Box 191050, Boise, ID 83719-1050

Authorised official

Name: Linda Barnes
Title: Credentialing Manager
Phone: (208) 985-1423

Registered specialties

Otolaryngology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Y00000X

Other Otolaryngology providers in Idaho →

Registry record

NPI: 1700644812
Entity type: Organization
NPI issued: 12 Mar 2024
Record last updated: 17 Feb 2025

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.