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NPI Verification

National Provider Identifier: 1972891604

St Lukes Clinic - Wood River LLC

Organization

Primary Specialty

Internal Medicine

Code: 207R00000X

All Specialties (7)

Obstetrics & Gynecology

Code: 207V00000X

Anesthesiology

Code: 207L00000X

Family Medicine

Code: 207Q00000X

Orthopaedic Surgery

Code: 207X00000X

Emergency Medicine

Code: 207P00000X

Urology

Code: 208800000X

Internal Medicine

Code: 207R00000X

Primary

Practice Address

PO BOX 640

BOISE, ID 837010640

Phone: 208-381-2222

NPI Enumeration Date

July 15, 2011

NPI Number

1972891604

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
St Lukes Clinic - Wood River LLC - NPI 1972891604 | Provider Verification | HormoneMap