Graduated: 2024
NPI: 1225858475
Practice Locations (2)
ALLIANCE MEDICAL GROUP LLC
1907 S BROADWAY AVE, SUITE 101
BOISE, ID 837064229
2083451222
KEY STONE HEALTH CARE
21 N FISHER PARK WAY
EAGLE, ID 836164796
2085140670
Source: CMS National Downloadable File, September 2026.