ST LUKE'S REGIONAL MEDICAL CENTER is an urology in Meridian, ID. The provider is a urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. ST LUKE'S REGIONAL MEDICAL CENTER NPI is 1780793596. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As St Lukes Mountain States Urology.
The provider's business location address is:
520 S EAGLE RD
STE 3112
MERIDIAN, ID
ZIP 83642-351
Phone: (208) 706-5800
The provider's authorized official is Jeff Taylor .
The authorized official title is Sr Vp/cfo and has the following contact phone number (208) 381-2520.
The CLIA number assigned to this NPI record is 13D2013216 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).
The enumeration date for this NPI number is 8/29/2006 and was last updated on 9/30/2016.