Dr NATHAN J CHURCH is a male medical professional, specializing in Physician Assistant. He graduated in 2006.
ALLIANCE MEDICAL GROUP LLC
435 S EAGLE RD
EAGLE
ID
836166067
Tel: 2089398222
| Npi | 1386635977 |
| Pac Id | 3375670573 |
| Professional Enrollment Id | I20100420000594 |
| Last Name | CHURCH |
| First Name | NATHAN |
| Middle Name | J |
| Suffix | |
| Gender | M |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 2006 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | |
| Organization Legal Name | ALLIANCE MEDICAL GROUP LLC |
| Group Practice Pac Id | 3971544685 |
| Number Of Group Practice Members | 103 |
| Line 1 Street Address | 435 S EAGLE RD |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | EAGLE |
| State | ID |
| Zip Code | 836166067 |
| Phone Number | 2089398222 |
| Hospital Affiliation Ccn 1 | 130071 |
| Hospital Affiliation Lbn 1 | ST LUKE'S NAMPA MEDICAL CENTER |
| Hospital Affiliation Ccn 2 | 130006 |
| Hospital Affiliation Lbn 2 | ST LUKE'S REGIONAL MEDICAL CENTER |
| Hospital Affiliation Ccn 3 | 131311 |
| Hospital Affiliation Lbn 3 | ST LUKE'S ELMORE MEDICAL CENTER |
| Hospital Affiliation Ccn 4 | |
| Hospital Affiliation Lbn 4 | |
| Hospital Affiliation Ccn 5 | |
| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | Y |
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