Organization
ST LUKES REGIONAL MEDICAL CENTER
Active
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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