Graduated: 2020
NPI: 1104454123
Practice Locations (2)
SAINT ALPHONSUS REGIONAL MEDICAL CENTER INC
10583 W LAKE HAZEL RD
BOISE, ID 837096326
2083025900
SAINT ALPHONSUS REGIONAL MEDICAL CENTER INC
3025 W CHERRY LN
MERIDIAN, ID 836428531
Source: CMS National Downloadable File, September 2026.