| NPI | 1639356173 |
|---|---|
| Doing Business As | ST LUKES MEDICAL CLINIC @ HP |
| Entity Type | Organization |
| Authorized Contact | SHANNA RICHTER Manager 208-381-4120 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: ID 03) |
| Enumeration Date | 2008-01-28 |
| Last Update Date | 2008-01-28 |