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Organization

ST LUKES REGIONAL MEDICAL CENTER

Active
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Organization

ST LUKES REGIONAL MEDICAL CENTER

Active
Other names
ST LUKES MEDICAL CLINIC @ HP
Organization subpart
No

Provider details

NPI number
Authorized official
SHANNA RICHTER (MANAGER)
(208) 381-4120
Entity
Organization

Contact information

Practice address
11311 W CHINDEN BLVD, BOISE, ID 83714-1021
(208) 381-4120
Mailing address
PO BOX 550, BOISE, ID 83701-0550
(208) 381-4120

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
03
ID

Other

Enumeration date
01/28/2008
Last updated
01/28/2008
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