St Lukes Regional Medical Center

NPI #1952604563 in Caldwell, Idaho

Provider Information

NPI Number: 1952604563
Entity Type: Organization
Organization Name: St Lukes Regional Medical Center
Subpart: Yes (part of a larger organization)
Parent Organization: ST LUKES REGIONAL MEDICAL CENTER
Primary Specialty: Urology
Enumeration Date: Dec 21, 2010
Last Updated: Dec 21, 2010

Practice Location

Address: 1620 S KIMBALL AVE
City: Caldwell
State: Idaho
ZIP Code: 83605-4547
Phone: (208) 454-9181

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Urology	208800000X	Primary

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Organizations

Provider Name	Specialty	City
St Lukes Regional Medical Center Part of St Lukes Regional Medical Center	Urology	Caldwell	AI Deep Dive

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