St Luke's Regional Medical Center

NPI #1316243330 in Boise, Idaho

Provider Information

NPI Number: 1316243330
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: Pediatrics - Neurodevelopmental Disabilities
Enumeration Date: Feb 9, 2011
Last Updated: Feb 9, 2011

Practice Location

Address: 100 E IDAHO ST
Address 2: STE 200
City: Boise
State: Idaho
ZIP Code: 83712-6267
Phone: (208) 381-5000

Authorized Official

Name: JOHN KEE
Title: VP PHYSICIAN SERVICES
Phone: (208) 381-5329

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - Clinical Child & Adolescent — Clinical Child & Adolescent	103TC2200X
Pediatrics - Neurodevelopmental Disabilities — Neurodevelopmental Disabilities	2080P0008X	Primary

Similar Providers

Individual Providers

Provider Name	Specialty	City
Carol Klett Vance, M.D.	Pediatrics - Neurodevelopmental Disabilities	Ammon	AI Deep Dive
DR. Ronald Scott Higginbotham, D.O.	Family Medicine	Boise	AI Deep Dive
DR. Donald David Hartman SR., MD	Family Medicine	Boise	AI Deep Dive
DR. Scott Allen Shappard SR., DO	Family Medicine	Boise	AI Deep Dive

Organizations

Provider Name	Specialty	City
Carol Klett Vance Md, Inc.	Pediatrics - Neurodevelopmental Disabilities	Ammon	AI Deep Dive

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