| NPI | 1053624759 |
|---|---|
| Doing Business As | ST LUKES CLINIC - CAPITAL CITY FAMILY MEDICINE |
| Entity Type | Organization |
| Authorized Contact | JOHN KEE VP Physician Services 208-381-5329 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: ID 03) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: ID 03) |
| 208000000X Pediatrics (Licence: ID 03) | |
| Enumeration Date | 2010-07-22 |
| Last Update Date | 2010-07-22 |