St Lukes Mccall Ltd

NPI #1245503614 in Mccall, Idaho

Provider Information

NPI Number
1245503614
Entity Type
Organization
Organization Name
St Lukes Mccall Ltd
Subpart
Yes (part of a larger organization)
Parent Organization
ST LUKES MCCALL LTD
Primary Specialty
Family Medicine
Enumeration Date
Feb 16, 2012
Last Updated
Feb 16, 2012

Practice Location

Address
211 FOREST ST
City
Mccall
State
Idaho
ZIP Code
83638-5256
Phone
(208) 634-2225

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Family Medicine - Adolescent MedicineAdolescent Medicine
Family Medicine - Adult MedicineAdult Medicine
Family Medicine

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