| St Lukes Clinic - Capital City Family Medicine | |
|
1520 W State St Ste 100 Boise ID 83702-4085 | |
| (208) 947-7700 | |
| Not Available |
| Full Name | St Lukes Clinic - Capital City Family Medicine |
|---|---|
| Speciality | Family Medicine |
| Location | 1520 W State St, Boise, Idaho |
| Authorized Official Name and Position | John Kee (VP PHYSICIAN SERVICES) |
| Authorized Official Contact | 2083815329 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| St Lukes Clinic - Capital City Family Medicine 1520 W State St Ste 100 Boise ID 83702-4085 Ph: (208) 947-7700 | St Lukes Clinic - Capital City Family Medicine 1520 W State St Ste 100 Boise ID 83702-4085 Ph: (208) 947-7700 |
| NPI Number | 1053624759 |
|---|---|
| Provider Enumeration Date | 07/22/2010 |
| Last Update Date | 07/22/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053624759 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 03 (Idaho) | Primary |
| 207R00000X | Internal Medicine | 03 (Idaho) | Secondary |
| 208000000X | Pediatrics | 03 (Idaho) | Secondary |
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