Organization
ST LUKES REGIONAL MEDICAL CENTER
Active
Other names
St Lukes Idaho Cardiology Associates
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CARRIE L COWGILL (CREDENTIALING COORDINATOR)
(208) 381-4137
Entity
Organization
Contact information
Practice address
300 E JEFFERSON ST, BOISE, ID 83712-6246
(208) 336-4141
(208) 336-4035
Mailing address
PO BOX 110, BOISE, ID 83701-0110
(208) 336-4141
(208) 336-4035
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
08/30/2007
Last updated
08/30/2007
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