| NPI | 1568731925 |
|---|---|
| Doing Business As | ST LUKES CLINIC - GENERAL SURGERY |
| Entity Type | Organization |
| Authorized Contact | JEFF TAYLOR System VP CFO 208-381-2520 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208600000X Surgery (Licence: ID 03) |
| Additional Taxonomies | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: ID 03) |
| Enumeration Date | 2011-12-14 |
| Last Update Date | 2011-12-14 |