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ALLIANCE MEDICAL GROUP LLC NPI 1770729063


NPI Information

NPI: 1770729063
Provider Name: ALLIANCE MEDICAL GROUP, LLC

Doing Business As: PRIMARY HEALTH MEDICAL GROUP

Classification: Pediatrics - 208000000X
Entity Type: Organization
Address:
3280 E. LANARK DRIVE
MERIDIAN, ID
ZIP 83642
Phone: (208) 377-4400
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ALLIANCE MEDICAL GROUP, LLC is a pediatrics in Meridian, ID. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. ALLIANCE MEDICAL GROUP, LLC NPI is 1770729063. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Primary Health Medical Group.

The provider's business location address is:

3280 E. LANARK DRIVE
MERIDIAN, ID
ZIP 83642
Phone: (208) 377-4400
Fax: (208) 377-4416

The provider's authorized official is David Peterman .
The authorized official title is President and has the following contact phone number (208) 955-6506.

The enumeration date for this NPI number is 12/17/2008 and was last updated on 2/13/2019.


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
1208000000XPediatricsYes

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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