Organization
ST LUKES REGIONAL MEDICAL CENTER
Active
Parent organization
ST LUKES REGIONAL MEDICAL CENTER
Other names
ST LUKES CLINIC - OB GYN CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
ST LUKES REGIONAL MEDICAL CENTER
Authorized official
JOHN KEE (VP PHYSICIAN SERVICES)
(208) 381-5329
Entity
Organization
Contact information
Practice address
100 E IDAHO ST, STE 302, BOISE, ID 83712-6267
(208) 343-7501
Mailing address
100 E IDAHO ST, STE 302, BOISE, ID 83712-6267
(208) 343-7501
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
03
ID
Other
Enumeration date
07/22/2010
Last updated
07/22/2010
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