St Lukes Idaho Cardiology Associates

NPI #1770873572 in Caldwell, Idaho

Provider Information

NPI Number
1770873572
Entity Type
Organization
Organization Name
St Lukes Idaho Cardiology Associates
Subpart
Yes (part of a larger organization)
Parent Organization
GRANDE RONDE HOSPITAL, INC
Primary Specialty
Internal Medicine - Cardiovascular Disease
Enumeration Date
Apr 13, 2011
Last Updated
Apr 13, 2011

Practice Location

Address
315 E ELM ST
Address 2
SUITE 350
State
Idaho
ZIP Code
83605-4857
Phone
(208) 454-6363

Authorized Official

Name
MR. JAMES A MATTES
Title
PRESIDENT/CEO
Phone
(541) 963-1454

Specialties & Taxonomy Codes

Specialty
Internal Medicine - Cardiovascular DiseaseCardiovascular Disease

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