St Lukes Regional Medical Center

NPI #1922042506 in Boise, Idaho

Provider Information

NPI Number: 1922042506
Entity Type: Organization
Organization Name: St Lukes Regional Medical Center
Primary Specialty: Internal Medicine
Enumeration Date: Jun 15, 2006
Last Updated: Jul 14, 2009

Practice Location

Address: 300 E JEFFERSON ST
City: Boise
State: Idaho
ZIP Code: 83712-6246
Phone: (208) 381-4100

Authorized Official

Name: MS. GREG ORR
Title: DIRECTOR
Phone: (208) 381-4103

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X
Nurse Practitioner	363L00000X
Physician Assistant	363A00000X
Internal Medicine	207R00000X	Primary

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