Organization
ST LUKES REGIONAL MEDICAL CENTER
Active
Parent organization
ST LUKES REGIONAL MEDICAL CENTER
Other names
ST LUKES CALDWELL UROLOGY
Organization subpart
Yes
Provider details
NPI number
Legal business name
ST LUKES REGIONAL MEDICAL CENTER
Authorized official
JOHN KEE (VP, PHYSICIAN SERVICES)
(208) 381-5329
Entity
Organization
Contact information
Practice address
1620 S KIMBALL AVE, CALDWELL, ID 83605-4547
(208) 454-9181
Mailing address
1620 S KIMBALL AVE, CALDWELL, ID 83605-4547
(208) 454-9181
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
03
ID
Other
Enumeration date
12/23/2009
Last updated
12/23/2009
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