institution
Saint Alphonsus Nephrology
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Burley, Idaho
NPI 1720079387

Saint Alphonsus Nephrology is a End-Stage Renal Disease (ESRD) Treatment Clinic/Center based in Boise, ID and is specialized in End-Stage Renal Disease (ESRD) Treatment. Saint Alphonsus Nephrology practices in Burley, ID. The NPI Number for Saint Alphonsus Nephrology is 1720079387 and holds a License No. BM5584708 (Idaho).

The current practice location address for Saint Alphonsus Nephrology is 2303 Park Ave, Burley, ID and can be reached out via phone at 208-677-5490 and via fax at 208-677-5498.

Location: 2303 Park Ave, Burley, ID, 83706-1349
institution
Provider Profile Details
NPI Number
1720079387
Provider Name
Saint Alphonsus Nephrology
Credential
Provider Entity Type
Organization
Address
2303 Park Ave, Burley, ID, 83706-1349
Phone Number
208-677-5490
Fax Number
208-677-5498
Provider Enumeration Date
11/02/2005
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
2303 Park Ave
City
State
Zip
83318-2106
Phone Number
208-677-5490
Fax Number
208-677-5498
person
Provider Business Mailing Address Details
Address
2303 Park Ave
City
State
Zip
83318-2106
Phone Number
208-677-5490
Fax Number
208-677-5498
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
End-Stage Renal Disease (ESRD) Treatment
Taxonomy
License No.
BM5584708 (Idaho)
Definition
Definition to come...
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