Organization
ST LUKES FAMILY HEALTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROL JOHNSON (ASSISTANT ADMINISTRATOR)
(208) 887-4606
Entity
Organization
Contact information
Practice address
3090 E GENTRY WAY, SUITE 200, MERIDIAN, ID 83642-3501
(208) 887-4606
(208) 887-0810
Mailing address
3090 E GENTRY WAY, SUITE 200, MERIDIAN, ID 83642-3501
(208) 887-4606
(208) 887-0810
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
05/11/2006
Last updated
04/14/2008
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