NPI: 1801113329
Provider Name: ST LUKE'S REGIONAL MEDICAL CENTER
Doing Business As: ST LUKE'S IDAHO ENDOCRINOLOGY
Classification: Internal Medicine - 207RE0101X
Entity Type: Organization
Specialization: Endocrinology, Diabetes & Metabolism
CLIA Number: 13D2046202
Address:
403 S 11TH ST
STE 100
BOISE, ID
ZIP 83702
Phone: (208) 429-0300
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ST LUKE'S REGIONAL MEDICAL CENTER is an endocrinology and diabetes and metabolism internal medicine in Boise, ID. The provider is an internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. ST LUKE'S REGIONAL MEDICAL CENTER NPI is 1801113329. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As St Luke's Idaho Endocrinology.
The provider's business location address is:
403 S 11TH ST
STE 100
BOISE, ID
ZIP 83702-969
Phone: (208) 429-0300
The provider's authorized official is John Kee .
The authorized official title is Vp Physician Services and has the following contact phone number (208) 381-5329.
The CLIA number assigned to this NPI record is 13D2046202 - physician office with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 4/23/2010 and was last updated on 4/23/2010.