St Lukes Regional Medical Center

NPI #1114117611 in Boise, Idaho

Provider Information

NPI Number
1114117611
Entity Type
Organization
Organization Name
St Lukes Regional Medical Center
Primary Specialty
Clinic/Center - Medical Specialty
Enumeration Date
Jul 31, 2007
Last Updated
Apr 9, 2008

Practice Location

Address
333 N 1ST ST
Address 2
SUITE 120
City
Boise
State
Idaho
ZIP Code
83702-6100
Phone
(208) 344-3779

Authorized Official

Name
DR. W CHRISTIAN OAKLEY, MD
Title
MD
Phone
(208) 344-3779

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Medical SpecialtyMedical Specialty

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