St Luke's Regional Medical Center

NPI #1205137379 in Boise, Idaho

Provider Information

NPI Number: 1205137379
Entity Type: Organization
Organization Name: St Luke's Regional Medical Center
Subpart: Yes (part of a larger organization)
Parent Organization: ST LUKE'S REGIONAL MEDICAL CENTER
Primary Specialty: Orthopaedic Surgery
Enumeration Date: Nov 5, 2010
Last Updated: Nov 5, 2010

Practice Location

Address: 600 W ROBBINS RD
Address 2: STE 401
City: Boise
State: Idaho
ZIP Code: 83702-4565
Phone: (208) 383-0201

Authorized Official

Name: JEFF TAYLOR
Title: SYSTEM VP CFO
Phone: (208) 381-2520

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine - Rheumatology — Rheumatology	207RR0500X
Orthopaedic Surgery - Pediatric Orthopaedic Surgery — Pediatric Orthopaedic Surgery	207XP3100X
Orthopaedic Surgery	207X00000X	Primary

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