ST. LUKE'S TREASURE VALLEY PEDIATRICS is a primary care clinic center in Eagle, ID. ST. LUKE'S TREASURE VALLEY PEDIATRICS NPI is 1396121349. The provider is registered as an organization entity type.
The provider's business location address is:
450 W STATE ST STE 100
EAGLE, ID
ZIP 83616-055
Phone: (208) 939-1035
Fax: (208) 939-8970
The provider's authorized official is Alisha Lauren Miller .
The authorized official title is Family Nurse Practitioner and has the following contact phone number (208) 939-1035.
The CLIA number assigned to this NPI record is 13D1075545 - physician office with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 7/31/2015 and was last updated on 7/31/2015.