Organization · Type 2 NPI

Alliance Medical Group, LLC

Otolaryngology Physician · Meridian, ID

NPI number 1700644812 Active

Practice location

875 S Vanguard Way Ste 200A
Meridian, ID 83642-9445

Fax (208) 809-2896

Mailing address

PO Box 191050
Boise, ID 83719-1050

Specialties and licenses

TaxonomyCodeLicense
Otolaryngology Physician Primary 207Y00000XNone listed

Otolaryngology Physician: An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injurie…

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About NPI 1700644812

Alliance Medical Group, LLC's National Provider Identifier is 1700644812, issued on Mar 12, 2024. The primary taxonomy on file is Otolaryngology Physician (207Y00000X), and the practice location is in Meridian, ID. The record was last updated on Feb 17, 2025.