| NPI | 1023201084 |
|---|---|
| Doing Business As | ST LUKES PEDIATRIC ENDOCRINOLOGY |
| Entity Type | Organization |
| Authorized Contact | JEFF TAYLOR Sr VP/CFO 208-381-2520 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty |
| Enumeration Date | 2007-08-23 |
| Last Update Date | 2016-09-30 |