| NPI | 1922042506 |
|---|---|
| Doing Business As | ST LUKES INTERNAL MEDICINE |
| Entity Type | Organization |
| Authorized Contact | GREG ORR Director 208-381-4103 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 363L00000X Nurse Practitioner | |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2009-07-14 |