Organization
ST LUKES REGIONAL MEDICAL CENTER
Active
Other names
ST LUKES INTERNAL MEDICINE
Organization subpart
No
Provider details
NPI number
Authorized official
MS. GREG ORR (DIRECTOR)
(208) 381-4103
Entity
Organization
Contact information
Practice address
300 E JEFFERSON ST, BOISE, ID 83712-6246
(208) 381-4100
(208) 381-1665
Mailing address
PO BOX 550, BOISE, ID 83701-0550
(208) 381-4100
(208) 381-1665
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
06/15/2006
Last updated
07/14/2009
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