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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)

Anesthesiology

Code: 207L00000X

Emergency Medicine

Code: 207P00000X

Family Medicine

Code: 207Q00000X

Obstetrics & Gynecology

Code: 207V00000X

Orthopaedic Surgery

Code: 207X00000X

Urology

Code: 208800000X

Internal Medicine

Code: 207R00000X

Primary

Practice Address

100 HOSPITAL DRIVE

KETCHUM, ID 833409999

Phone: 208-727-8100

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