| NPI | 1316243330 |
|---|---|
| Doing Business As | ST LUKE'S CHILDRENS - NEUROLOGY |
| Entity Type | Organization |
| Authorized Contact | JOHN KEE VP Physician Services 208-381-5329 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2080P0008X Pediatrics, Neurodevelopmental Disabilities (Licence: ID 03) |
| Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: ID 03) |
| Enumeration Date | 2011-02-09 |
| Last Update Date | 2011-02-09 |