| St. Alphonsus Medical Group Ten Mile | |
|
3250 W Cherry Ln Meridian ID 83642-1120 | |
| (208) 895-8969 | |
| (208) 895-8973 |
| Full Name | St. Alphonsus Medical Group Ten Mile |
|---|---|
| Speciality | Family Medicine |
| Location | 3250 W Cherry Ln, Meridian, Idaho |
| Authorized Official Name and Position | Tami Jean Moscrip (AREA MANAGER) |
| Authorized Official Contact | 2083674593 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| St. Alphonsus Medical Group Ten Mile 3250 W Cherry Ln Meridian ID 83642-1120 Ph: (208) 895-8969 | St. Alphonsus Medical Group Ten Mile 3250 W Cherry Ln Meridian ID 83642-1120 Ph: (208) 895-8969 |
| NPI Number | 1538197504 |
|---|---|
| Provider Enumeration Date | 06/29/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538197504 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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