St Luke's Regional Medical Center
St Luke's Regional Medical Center provides Pediatric Gastroenterology Physician services in Boise, Idaho. Licensed in Idaho. Registered with an NPI since 2010.
- Licensed in
- ID
- In the registry since
- 2010
Practice location Address checks out
100 E Idaho St Ste 316Boise, ID 83712-6267 Not confirmed with CMS for 15 years — call before visiting
Phone: (208) 381-7310
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Pediatric Gastroenterology Physician (primary) | Taxonomy 2080P0206X · Licence 03 (ID) |
|---|
Record details
| NPI number | 1801197082 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | St Luke's Regional Medical Center |
| Authorized official | Jeff Taylor — System Vp Cfo · (208) 381-2520 |
| Other names | St Luke'S Clinic - Idaho Pediatric Gastroenterology |
| NPI enumerated | November 4, 2010 |
| Last updated in NPPES | November 4, 2010 |
| Mailing address | 100 E Idaho St, Ste 316, Boise, ID 83712-6267 |
Other providers in Boise
-
Dr. Cass R Smith, MD
100 E Idaho St Ste 316, Boise, ID 83712-6267 · (208) 381-7011
-
Henry R Thompson, MD
100 E Idaho St Ste 316, Boise, ID 83712-6267 · (208) 381-7310