St Lukes Medical Center Woodriver

NPI #1629255153 in Ketchum, Idaho

Provider Information

NPI Number: 1629255153
Entity Type: Organization
Organization Name: St Lukes Medical Center Woodriver
Primary Specialty: Internal Medicine
Enumeration Date: Jan 28, 2008
Last Updated: Jun 22, 2016

Practice Location

Address: 100 HOSPITAL DRIVE
City: Ketchum
State: Idaho
ZIP Code: 83340
Phone: (208) 788-2222

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Anesthesiology	207L00000X
Obstetrics & Gynecology	207V00000X
Internal Medicine	207R00000X	Primary

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