St Lukes Regional Medical Center

NPI #1003295452 in Boise, Idaho

Provider Information

NPI Number
1003295452
Entity Type
Organization
Organization Name
St Lukes Regional Medical Center
Primary Specialty
Registered Nurse - Diabetes Educator
Enumeration Date
May 19, 2015
Last Updated
Jun 22, 2016

Practice Location

Address
1226 W RIVER ST
City
Boise
State
Idaho
ZIP Code
83702-7049
Phone
(208) 331-1155

Authorized Official

Name
JEFF TAYLOR
Title
SR VICE PRESIDENT AND CFO
Phone
(208) 381-2520

Specialties & Taxonomy Codes

Specialty
Dietitian, Registered
Registered Nurse - Diabetes EducatorDiabetes Educator

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