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NPI Verification

National Provider Identifier: 1780793596

St Luke's Regional Medical Center

Organization

Primary Specialty

Urology

Code: 208800000X

All Specialties (3)

Urology, Urogynecology and Reconstructive Pelvic Surgery

Code: 2088F0040X

Urology, Pediatric Urology

Code: 2088P0231X

Urology

Code: 208800000X

Primary

Practice Address

520 S EAGLE RD

STE 3112

MERIDIAN, ID 836426351

Phone: 208-706-5800

NPI Enumeration Date

August 29, 2006

NPI Number

1780793596

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry