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Organization
ST LUKES CLINIC - TREASURE VALLEY LLC
Active
Organization
ST LUKES CLINIC - TREASURE VALLEY LLC
Active
Parent organization
ST. LUKE'S HEALTH SYSTEM
Other names
St Luke's Lifestyles Medicine
Organization subpart
Yes
Provider details
NPI number
Legal business name
ST. LUKE'S HEALTH SYSTEM
Authorized official
JEFF TAYLOR (SR VP & CFO)
(208) 381-2520
Entity
Organization
Contact information
Practice address
5155 S HOWRY LANE, MERIDIAN, ID 83642
(208) 381-2222
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241
(208) 381-2222
Taxonomy
Speciality
Code
Description
License number
State
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
—
NULL
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
—
—
Other
Enumeration date
05/18/2018
Last updated
05/18/2018
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