| St Luke's Idaho Endocrinology | |
|
403 S 11th St Ste 100 Boise ID 83702-6969 | |
| (208) 429-0300 | |
| Not Available |
| Full Name | St Luke's Idaho Endocrinology |
|---|---|
| Speciality | Internal Medicine - Endocrinology, Diabetes & Metabolism |
| Location | 403 S 11th 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 Luke's Idaho Endocrinology 190 E Bannock St Boise ID 83712-6241 Ph: (208) 429-0300 | St Luke's Idaho Endocrinology 403 S 11th St Ste 100 Boise ID 83702-6969 Ph: (208) 429-0300 |
| NPI Number | 1801113329 |
|---|---|
| Provider Enumeration Date | 04/23/2010 |
| Last Update Date | 04/23/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801113329 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | 03 (Idaho) | Primary |
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