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Organization
ST LUKES REGIONAL MEDICAL CENTER
Active
Organization
ST LUKES REGIONAL MEDICAL CENTER
Active
Other names
St Lukes Idaho Cardiology Associates
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CARRIE L COWGILL (CREDENTIALING COORDINATOR)
(208) 381-4137
Entity
Organization
Contact information
Practice address
300 E JEFFERSON ST, BOISE, ID 83712-6246
(208) 336-4141
(208) 336-4035
Mailing address
PO BOX 110, BOISE, ID 83701-0110
(208) 336-4141
(208) 336-4035
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
NULL
Other
Enumeration date
08/30/2007
Last updated
08/30/2007
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