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ST LUKES REGIONAL MEDICAL CENTER

Family Medicine Physician

NPI: 1053624759Organization

Specialties, Licenses & Credentials

Internal Medicine Physician

Internal Medicine

Code: 207R00000X

03(ID)
Pediatrics Physician

Pediatrics

Code: 208000000X

03(ID)
Family Medicine PhysicianPrimary

Family Medicine

Code: 207Q00000X

03(ID)

Contact & Hours

Address
1520 W STATE ST, SUITE 100
BOISE, ID 83702

Quick Facts

NPI
1053624759
Entity Type
Organization
Medicare
Not confirmed
Specialties
3
Locations
1

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