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

St Lukes Regional Medical Center Dba St Luke's Internal Medicine

Organization Physician Assistant · NPI 1790983385

St Lukes Regional Medical Center Dba St Luke's Internal Medicine is a Physician Assistant in Boise, Idaho. Registered with an NPI since 2007.

In the registry since
2007

Practice location Address checks out

300 E Jefferson St
Boise, ID 83712-6246
Phone: (208) 381-4100
Fax: (208) 381-4101
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1790983385
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Carrie Cowgill — Credentialing Coordinator · (208) 381-4137
Other names Slim Midlevel Providers
NPI enumeratedJuly 5, 2007
Last updated in NPPESAugust 22, 2020
Mailing addressPo Box 550, Boise, ID 83701-0550

Other providers in Boise