St Lukes Regional Medical Center

NPI #1063660645 in Boise, Idaho

Provider Information

NPI Number: 1063660645
Entity Type: Organization
Organization Name: St Lukes Regional Medical Center
Primary Specialty: Family Medicine
Enumeration Date: Sep 8, 2008
Last Updated: Sep 8, 2008

Practice Location

Address: 3301 N SAWGRASS WAY
City: Boise
State: Idaho
ZIP Code: 83704-4493
Phone: (208) 375-0862

Authorized Official

Name: SANDY STEVENSON
Title: MANAGER
Phone: (208) 375-0862

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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