| NPI | 1316980345 |
|---|---|
| Doing Business As | ST LUKES INTERNAL MEDICINE |
| Entity Type | Organization |
| Authorized Contact | CARRIE LYNNE COWGILL Credentialing COO Rdinator 208-381-4137 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2020-08-22 |