Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

St Lukes Regional Medical Center

Organization Developmental - Behavioral Pediatrics Physician · NPI 1972627628

St Lukes Regional Medical Center is a Developmental - Behavioral Pediatrics Physician in Boise, Idaho. Licensed in Idaho. Registered with an NPI since 2007.

Licensed in
ID
In the registry since
2007

Practice location Address checks out

100 E Idaho St Ste 200
Boise, ID 83712-6223
Phone: (208) 381-7312
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Developmental - Behavioral Pediatrics Physician (primary) Taxonomy 2080P0006X · Licence 03 (ID)

Record details

NPI number1972627628
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jerry Hirschfeld — Administrator · (208) 381-2818
Other names St Lukes Developmental Pediatrics
NPI enumeratedMarch 19, 2007
Last updated in NPPESAugust 22, 2020
Mailing addressPo Box 550, Boise, ID 83701-0550

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