St Lukes Regional Medical Center

NPI #1013957471 in Boise, Idaho

Provider Information

NPI Number
1013957471
Entity Type
Organization
Organization Name
St Lukes Regional Medical Center
Primary Specialty
Clinic/Center - Medical Specialty
Enumeration Date
Jun 7, 2006
Last Updated
Oct 31, 2007

Practice Location

Address
4840 N CLOVERDALE RD
City
Boise
State
Idaho
ZIP Code
83713-2423
Phone
(208) 706-8000

Authorized Official

Name
CARRIE LYNNE COWGILL
Title
CREDENTIALING COORDINATOR
Phone
(208) 381-4137

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Medical SpecialtyMedical Specialty

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