Organization
ST LUKE'S REGIONAL MEDICAL CENTER
Active
Parent organization
ST. LUKE'S REGIONAL MEDICAL CENTER
Other names
St Luke's Idaho Endocrinology
Organization subpart
Yes
Provider details
NPI number
Legal business name
ST. LUKE'S REGIONAL MEDICAL CENTER
Authorized official
JOHN KEE (VP PHYSICIAN SERVICES)
(208) 381-5329
Entity
Organization
Contact information
Practice address
403 S 11TH ST, STE 100, BOISE, ID 83702-6969
(208) 429-0300
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241
(208) 429-0300
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
03
ID
Other
Enumeration date
04/23/2010
Last updated
04/23/2010
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