Organization
ST LUKES REGIONAL MEDICAL CENTER
Active
Other names
ST LUKES BARIATRIC SURGERY
Organization subpart
No
Provider details
NPI number
Authorized official
DR. W CHRISTIAN OAKLEY MD (MD)
(208) 344-3779
Entity
Organization
Contact information
Practice address
333 N 1ST ST, SUITE 120, BOISE, ID 83702-6100
(208) 344-3779
Mailing address
PO BOX 550, BOISE, ID 83701-0550
(208) 344-3779
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
M4219
ID
Other
Enumeration date
07/31/2007
Last updated
04/09/2008
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