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ST ALPHONSUS PROFESSIONAL MEDICAL SERVICES LLC NPI 1629095179


NPI Information

NPI: 1629095179
Provider Name: ST ALPHONSUS PROFESSIONAL MEDICAL SERVICES LLC

Doing Business As: ST ALPHONSUS ONCOLOGY PHYSICIAN SERVICES

Classification: Internal Medicine - 207RX0202X
Entity Type: Organization

Specialization: Medical Oncology

Address:
1055 N CURTIS RD
BOISE, ID
ZIP 83706
Phone: (208) 367-3131
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ST ALPHONSUS PROFESSIONAL MEDICAL SERVICES LLC is a medical oncology internal medicine in Boise, ID. The provider is an internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer. ST ALPHONSUS PROFESSIONAL MEDICAL SERVICES LLC NPI is 1629095179. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As St Alphonsus Oncology Physician Services.

The provider's business location address is:

1055 N CURTIS RD
BOISE, ID
ZIP 83706-309
Phone: (208) 367-3131

The provider's authorized official is Richard Presnell .
The authorized official title is Chief Financial Officer and has the following contact phone number (208) 367-2881.

The enumeration date for this NPI number is 7/17/2006 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RX0202XInternal MedicineMedical OncologyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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