| NPI | 1326388737 |
|---|---|
| Doing Business As | ST LUKES ELMORE MEDICAL CENTER PHYSICIAN GROUP |
| Entity Type | Organization |
| Authorized Contact | JEFF TAYLOR System VP CFO 208-381-2520 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: ID 03) |
| Additional Taxonomies | 208600000X Surgery (Licence: ID 03) |
| Enumeration Date | 2013-02-21 |
| Last Update Date | 2016-06-22 |