| NPI | 1396916417 |
|---|---|
| Doing Business As | ST. LUKE'S IDAHO CARDIOLOGY ASSOCIATES |
| Entity Type | Organization |
| Authorized Contact | EDWIN DAHLBERG President & CEO 208-381-2222 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health |
| Enumeration Date | 2008-03-17 |
| Last Update Date | 2008-03-17 |