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Organization
ST LUKES REGIONAL MEDICAL CENTER
Active
Organization
ST LUKES REGIONAL MEDICAL CENTER
Active
Other names
St Lukes Pediatric Endocrinology
Organization subpart
No
Provider details
NPI number
Authorized official
JEFF TAYLOR (SR VP/CFO)
(208) 381-2520
Entity
Organization
Contact information
Practice address
100 E IDAHO ST STE 200, BOISE, ID 83712-6270
(208) 381-7340
Mailing address
PO BOX 640, BOISE, ID 83701-0640
(208) 381-2222
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
NULL
Other
Enumeration date
08/23/2007
Last updated
09/30/2016
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