| NPI | 1205137379 |
|---|---|
| Doing Business As | ST LUKE'S CLINIC - INTERMOUNTAIN ORTHOPAEDICS |
| Entity Type | Organization |
| Authorized Contact | JEFF TAYLOR System VP CFO 208-381-2520 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: ID 03) |
| Additional Taxonomies | 207RR0500X Internal Medicine Rheumatology (Licence: ID 03) |
| 207XP3100X Orthopaedic Surgery Pediatric Orthopaedic Surgery (Licence: ID 03) | |
| Enumeration Date | 2010-11-05 |
| Last Update Date | 2010-11-05 |