| St Lukes Clinic Network | |
|
2720 Stone Park Blvd Room 629 Sioux City IA 51104-3734 | |
| (712) 279-3380 | |
| (712) 279-7015 |
| Full Name | St Lukes Clinic Network |
|---|---|
| Speciality | Internal Medicine |
| Location | 2720 Stone Park Blvd, Sioux City, Iowa |
| Authorized Official Name and Position | Mark A Johnson (VICE PRESIDENT) |
| Authorized Official Contact | 7122793934 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| St Lukes Clinic Network 2720 Stone Park Blvd Room 629 Sioux City IA 51104-3734 Ph: (712) 279-3380 | St Lukes Clinic Network 2720 Stone Park Blvd Room 629 Sioux City IA 51104-3734 Ph: (712) 279-3380 |
| NPI Number | 1194764001 |
|---|---|
| Provider Enumeration Date | 06/06/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194764001 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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