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Alliance Medical Group, LLC — NPI 1770729063, Meridian, ID | NPI Central

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NPI 1770729063

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Alliance Medical Group, LLC

NPI 1770729063 · Pediatrics Physician · Meridian, ID

Provider details

NPI number: 1770729063
Entity type: Organization
Primary specialty: Pediatrics PhysicianAllopathic & Osteopathic Physicians
Organization subpart: No
Authorized official: Linda Barnes, Credentialing Mgr(208) 985-1423

Specialties & taxonomies

Pediatrics PhysicianPrimary208000000X
Allopathic & Osteopathic Physicians

Practice location

3280 E. Lanark Drive

Meridian, ID 83642

Phone: (208) 377-4400

Fax: (208) 377-4416

Approximate (ZIP-level) locationGet directions

More ID providers

Mailing address

Po Box 191050

Boise, ID 83719-1050

Other names (DBA / former)

Doing business as: Primary Health Medical Group
Doing business as: Primary Health Medical Group

Registry dates

Enumerated: 2008-12-17
Last updated: 2025-02-17
Certified: 2025-02-17

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.