| NPI | 1407283443 |
|---|---|
| Doing Business As | ST LUKE'S JEROME FAMILY MEDICINE |
| Entity Type | Organization |
| Authorized Contact | JEFF TAYLOR Sr VP/CFO 208-381-2520 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Enumeration Date | 2013-10-05 |
| Last Update Date | 2016-09-29 |