| NPI | 1710143672 |
|---|---|
| Doing Business As | ST LUKES CLINIC BOISE/MERIDIAN |
| Entity Type | Organization |
| Authorized Contact | JOHN KEE Administrator 208-381-5329 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: ID 03) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: ID 03) |
| 208000000X Pediatrics (Licence: ID 03) | |
| 208600000X Surgery (Licence: ID 03) | |
| 208800000X Urology (Licence: ID 03) | |
| Enumeration Date | 2008-07-31 |
| Last Update Date | 2008-07-31 |