Organization
ST LUKE'S REGIONAL MEDICAL CENTER
Active
Other names
ST LUKE'S IDAHO FAMILY PHYSICIANS
Organization subpart
No
Provider details
NPI number
Authorized official
GREG ORR (DIRECTOR, PHYSICIAN SERVICES)
(208) 381-4103
Entity
Organization
Contact information
Practice address
130 E BOISE AVE, BOISE, ID 83706-4302
(208) 345-4066
Mailing address
130 E BOISE AVE, BOISE, ID 83706-4302
(208) 345-4066
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
03
ID
Other
Enumeration date
09/28/2009
Last updated
09/28/2009
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