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Organization
ST LUKES REGIONAL MEDICAL CENTER
Active
Organization
ST LUKES REGIONAL MEDICAL CENTER
Active
Other names
ST LUKES MOUNTAIN VIEW MEDICAL CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
SANDY STEVENSON (MANAGER)
(208) 375-0862
Entity
Organization
Contact information
Practice address
3301 N SAWGRASS WAY, BOISE, ID 83704-4493
(208) 375-0862
Mailing address
3301 N SAWGRASS WAY, BOISE, ID 83704-4493
(208) 375-0862
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
03
ID
Other
Enumeration date
09/08/2008
Last updated
09/08/2008
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