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Organization
ST. LUKE'S REGIONAL MEDICAL CENTER
Active
Organization
ST. LUKE'S REGIONAL MEDICAL CENTER
Active
Parent organization
ST. LUKE'S REGIONAL MEDICAL CENTER
Other names
St. Luke's Idaho Cardiology Associates
Organization subpart
Yes
Provider details
NPI number
Legal business name
ST. LUKE'S REGIONAL MEDICAL CENTER
Authorized official
EDWIN DAHLBERG (PRESIDENT & CEO)
(208) 381-2222
Entity
Organization
Contact information
Practice address
300 E JEFFERSON ST, SUITE 101, BOISE, ID 83712-6246
(208) 336-4141
Mailing address
PO BOX 110, BOISE, ID 83701-0110
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
—
NULL
363LA2200X
Adult Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
03/17/2008
Last updated
03/17/2008
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