| NPI | 1013957471 |
|---|---|
| Doing Business As | ST LUKES INTERNAL MEDICINE |
| Entity Type | Organization |
| Authorized Contact | CARRIE LYNNE COWGILL Credentialing COO Rdinator 208-381-4137 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty |
| Enumeration Date | 2006-06-07 |
| Last Update Date | 2007-10-31 |