| NPI | 1659699841 |
|---|---|
| Doing Business As | ST LUKE'S CARDIOTHORACIC & VASCULAR ASSOCIATES |
| Entity Type | Organization |
| Authorized Contact | JEFF TAYLOR Sr VP/CFO 208-381-2520 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: ID 03) |
| Additional Taxonomies | 2086S0129X Surgery, Vascular Surgery (Licence: ID 03) |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: ID 03) | |
| Enumeration Date | 2010-05-12 |
| Last Update Date | 2016-09-30 |