| NPI | 1629255153 |
|---|---|
| Doing Business As | ST LUKES CLINIC WOODRIVER |
| Entity Type | Organization |
| Authorized Contact | JEFF TAYLOR CFO, VP Finance 208-381-2520 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: ID 62) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: ID 62) |
| 207V00000X Obstetrics & Gynecology (Licence: ID 62) | |
| Enumeration Date | 2008-01-28 |
| Last Update Date | 2016-06-22 |