Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

St Lukes Regional Medical Center Dba St Luke's Internal Medicine

Organization Physician Assistant · NPI 1790983385

St Lukes Regional Medical Center Dba St Luke's Internal Medicine provides Physician Assistant services in Boise, Idaho. Registered with an NPI since 2007.

In the registry since
2007

Practice location Address checks out

300 E Jefferson St
Boise, ID 83712-6246
Phone: (208) 381-4100
Fax: (208) 381-4101
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1790983385
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Carrie Cowgill — Credentialing Coordinator · (208) 381-4137
Other names Slim Midlevel Providers
NPI enumeratedJuly 5, 2007
Last updated in NPPESAugust 22, 2020
Mailing addressPo Box 550, Boise, ID 83701-0550

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