| NPI | 1306149919 |
|---|---|
| Doing Business As | ST LUKE'S CLINIC - ST LUKE'S FAMILY HEALTH |
| Entity Type | Organization |
| Authorized Contact | JEFF TAYLOR System VP CFO 208-381-2520 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: ID 03) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: ID 03) |
| Enumeration Date | 2010-12-21 |
| Last Update Date | 2010-12-21 |