ST LUKES REGIONAL MEDICAL CENTER

Organization (NPI-2) Active

Family Medicine

Provider Information

Internal Medicine License: ID #03

Pediatrics License: ID #03

Surgery License: ID #03

Urology License: ID #03

Family Medicine Primary License: ID #03

MAILING

PO BOX 550

BOISE, ID, 837010550

LOCATION

190 E BANNOCK ST

BOISE, ID, 837126241