Organization
ST LUKES REGIONAL MEDICAL CENTER
Active
Other names
St Lukes Pediatric Endocrinology
Organization subpart
No
Provider details
NPI number
Authorized official
JEFF TAYLOR (SR VP/CFO)
(208) 381-2520
Entity
Organization
Contact information
Practice address
100 E IDAHO ST STE 200, BOISE, ID 83712-6270
(208) 381-7340
Mailing address
PO BOX 640, BOISE, ID 83701-0640
(208) 381-2222
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
08/23/2007
Last updated
09/30/2016
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