St Lukes Regional Med Ctr Dba St Lukes Pediatric Surgery of Idaho
St Lukes Regional Med Ctr Dba St Lukes Pediatric Surgery of Idaho provides Pediatric Surgery Physician services in Boise, Idaho. Registered with an NPI since 2007.
- In the registry since
- 2007
Practice location Address checks out
100 E Idaho St Ste 300Boise, ID 83712-6223 Not confirmed with CMS for 18 years — call before visiting
Phone: (208) 345-5400
Fax: (208) 345-5454
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Pediatric Surgery Physician (primary) | Taxonomy 2086S0120X |
|---|
Record details
| NPI number | 1720204738 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Carrie Cowgill — Credentialing Coordinator · (208) 381-4137 |
| NPI enumerated | April 18, 2007 |
| Last updated in NPPES | April 9, 2008 |
| Mailing address | 100 E Idaho St, Suite 300, Boise, ID 83712-6223 |
Other providers in Boise
-
Dr. John Daniel Horton, MD
305 E Jefferson St, Boise, ID 83712-6231 · (208) 381-7370
-
Pediatric Surgery of Idaho
100 E Idaho St Ste 300, Boise, ID 83712-6269 · (208) 345-5400
-
Ellen M Reynolds, MD
305 E Jefferson St, Boise, ID 83712-6231 · (208) 381-7370
-
Venkatraman Sadanand, MD
305 E Jefferson St, Boise, ID 83712-6231 · (208) 381-7360