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Individual

DR. LUKE WILLIAM O'ROURKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
2990 CORTEZ AVE, IDAHO FALLS, ID 83404-7554
(208) 535-0440
(208) 535-0550
Mailing address
2990 CORTEZ AVE, IDAHO FALLS, ID 83404-7554
(208) 535-0440
(208) 535-0550

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
DO166693
OR
207V00000X
Obstetrics & Gynecology Physician
Primary
O-1563
ID

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
500673955
OR
Enumeration date
03/22/2010
Last updated
06/13/2022
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