NPI | 1669666939 |
---|---|
Doing Business As | ST LUKES IDAHO CARDIOLOGY ASSOCIATES |
Entity Type | Organization |
Authorized Contact | CARRIE L COWGILL Credentialing Coordinator 208-381-4137 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty |
Enumeration Date | 2007-08-30 |
Last Update Date | 2007-08-30 |