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Contact Information

ALLIANCE MEDICAL GROUP, LLC
4971 W. OVERLAND ROAD
BOISE, ID83705
 Phone: 208-472-5050
 Fax: 208-472-5051
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for ALLIANCE MEDICAL GROUP LLC · (Female)

NPI Number 1871969246
Status Active
Credentials
Entity Individual
Enumeration date 08/19/2015
Last updated 02/17/2025 - More than a year ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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