Organization
ST LUKES REGIONAL MEDICAL CENTER
Active
Other names
ST LUKES MOUNTAIN VIEW MEDICAL CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
SANDY STEVENSON (MANAGER)
(208) 375-0862
Entity
Organization
Contact information
Practice address
3301 N SAWGRASS WAY, BOISE, ID 83704-4493
(208) 375-0862
Mailing address
3301 N SAWGRASS WAY, BOISE, ID 83704-4493
(208) 375-0862
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
03
ID
Other
Enumeration date
09/08/2008
Last updated
09/08/2008
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