| NPI | 1952604563 |
|---|---|
| Doing Business As | ST LUKES CLINIC - CALDWELL UROLOGY |
| Entity Type | Organization |
| Authorized Contact | JEFF TAYLOR System VP CFO 208-381-2520 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208800000X Urology (Licence: ID 03) |
| Enumeration Date | 2010-12-21 |
| Last Update Date | 2010-12-21 |