St Lukes Regional Med Ctr Dba St Lukes Pediatric Surgery of Idaho
St Lukes Regional Med Ctr Dba St Lukes Pediatric Surgery of Idaho is a Pediatric Surgery Physician in Boise, Idaho. Registered with an NPI since 2007.
- In the registry since
- 2007
Practice location Address checks out
100 E Idaho St Ste 300Boise, ID 83712-6223
Phone: (208) 345-5400
Fax: (208) 345-5454
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Pediatric Surgery Physician (primary) | Taxonomy 2086S0120X |
|---|
Record details
| NPI number | 1720204738 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Carrie Cowgill — Credentialing Coordinator · (208) 381-4137 |
| NPI enumerated | April 18, 2007 |
| Last updated in NPPES | April 9, 2008 |
| Mailing address | 100 E Idaho St, Suite 300, Boise, ID 83712-6223 |
Other providers in Boise
-
Dr. John Daniel Horton, MD
305 E Jefferson St, Boise, ID 83712-6231 · (208) 381-7370
-
Pediatric Surgery of Idaho
100 E Idaho St Ste 300, Boise, ID 83712-6269 · (208) 345-5400
-
Ellen M Reynolds, MD
100 E Idaho St Ste 300, Boise, ID 83712-6267 · (208) 381-7370
-
Venkatraman Sadanand, MD
305 E Jefferson St, Boise, ID 83712-6231 · (208) 381-7360