Organization
ST. LUKE'S TREASURE VALLEY PEDIATRICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALISHA LAUREN MILLER (FAMILY NURSE PRACTITIONER)
(208) 939-1035
Entity
Organization
Contact information
Practice address
450 W STATE ST STE 100, EAGLE, ID 83616-7055
(208) 939-1035
(208) 939-8970
Mailing address
450 W STATE ST STE 100, EAGLE, ID 83616-7055
(208) 939-1035
(208) 939-8970
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
07/31/2015
Last updated
07/31/2015
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