Organization
ST LUKES REGIONAL MEDICAL CENTER
Active
Other names
ST LUKES MEDICAL CLINIC @ HP
Organization subpart
No
Provider details
NPI number
Authorized official
SHANNA RICHTER (MANAGER)
(208) 381-4120
Entity
Organization
Contact information
Practice address
11311 W CHINDEN BLVD, BOISE, ID 83714-1021
(208) 381-4120
Mailing address
PO BOX 550, BOISE, ID 83701-0550
(208) 381-4120
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
03
ID
Other
Enumeration date
01/28/2008
Last updated
01/28/2008
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